Spring flowers sketch created 18 March 2015 by Gloria Poole, artist and Reg Nurse of Missouri

Spring flowers sketch created by me Gloria Poole, RN,artist of Missouri and Georgia on 18 March 2015 in acrylic in my sketch book that is 8 x 11.  I am posting art I created to this blog intermittently to keep fresh in readers' minds that I create art now [and do not work in nursing but do have a Registered Nurse's license in Missouri; and that I had a 26 year career in nursing before trauma to me in July 2006]. That is my hand holding the edge of the sketch book while I propped camera to photograph it. My sketch book is clamped to one of my portable drawing boards, see the metal clamp on the right.

This is my signature I signed in digital ink for a personal logo for this year.

This is my copyright notice. See full statement below.

This is one of my photos of U S flag that I photographed on walkabout, to remind all that I am a U S citizen by birth in state of Georgia , USA, and have all civil liberties of U S Constitution including first amendment.

This is one of my christian cross necklaces to remind viewers that I am a woman and that I am born again Christian and do not make nor worship images or statues of GOD, in keeping with the commandments of GOD in Exodus 20, KJV.

This is the University of Georgia's Terry College of Business display I made to show my status as a UGA alumna with a business degree also.

You can follow me on twitter via @gloriapoole, or @gloria_poole and on other twitter accounts of mine with descriptive handles instead of my actual name. Also, you can see more of the flower sketches I have created in past by googling my name in quotation marks : "Gloria Poole + flower sketches". Google is indexing art I create and I love them for doing that! I love Google. They are good to me and have always been good to me and for me. Also, reminder that all telephones and numbers associated with this blog and its underlying account are my numbers and that they are in my apt in Missouri unless I walkabout when I take several cell phones with me to have some way of calling for help since 2nd exhusband [male DBP] made threats to kill me. He is not killing me if I can help it! I have a wired, landline telephone in Missouri also.

As always this blog and all content on it belongs exclusively to me Gloria Poole, RN, artist of Missouri and I own all rights to it. I do not have a son, and I have only 2 grown daughters named Jennifer and Leigh who also have minor children of their own. Copyright notice 7 February 2015 at 12:36pm: This blog and all content, all words, all photos and all art on it were created and posted by me Gloria Poole , RN, artist of Missouri and Georgia. Usually I sign the art I create as simply Gloria since that is my first name I was born with; but on pencil drawings I often also sign my born with surname of Poole. I am also known on the web and in real life as Gloria Poole; Gloria J Poole; Gloria Poole, RN, artist; and on the web as : gloriapoole; gloria-poole; gloria.poole; Ms Gloria Poole; gloriapoole.RN; gloriapoole_RN; gloriapooleRN at yahoo; gloria0817; gpoole817; artist-gloriapoole; gloriapoole-paintings; artist-gloria; Poole,Gloria; gloriapoole1749; and other variations of my real, born with, and legal name of Gloria Poole. For the record, I am a white, twice divorced Christian woman and the mother of two grown daughters who are named Jennifer and Leigh. I am also a prolife activist, blogger, artist in all mediums; photographer for my own purposes, Registered Nurse with a license in Missouri but before that for most of my life in the state of Georgia, U.S. citizen born in the state of Georgia; University of Georgia alum, Georgia Baptist College of Nursing alum, writer, illustrator, author. This blog may not be downloaded, nor copied individually or collectively as a whole; nor have domains forwarded to it that do not belong to me, nor may the photos or art on it be reproduced or saved to disk by anyone . I create all content on this blog and I, Gloria Poole, own all rights to this blog collectively and individually as single posts. The telephones listed on this account belong to me and are in my apartment in Missouri or in my possession at all times. Some of my numbers are wired, landline telephones and some are mobile phones. This blog and all blogs that I create and that contain my words and or art and or photos that I create bel*og exclusively to me Gloria Poole, of Missouri and Georgia. Copyright. Gloria Poole /gloriapoole /gloria-poole /gloria.poole/ Ms Gloria Poole/ Poole Gloria at my own, private apt in Missouri which is not shared with anyone and neither is my equipment nor phones shared with anyone, and nether is my isp account shared with anyone. Gloria Poole, RN, artist; at my apt in Missouri on 18 March 2015 at 11:49am.

Carbapenem-resistant Enterobacteriaceae, bacteria on endoscopes in news and is great threat globally, written by Gloria Poole,RN,artist of Missouri

Today I read an article in the L A Times about carbapenem-resistant Enterobacteriaceae, and thought to myself that I might research it some to add info for the public. So here is a summary of many documents and I have included links to the whole articles.
"CRE, which stands for carbapenem-resistant Enterobacteriaceae, are germs that have become too difficult to treat because they are resistant to most antibiotics. " and they are on endoscopes. http://www.latimes.com/business/la-fi-ucla-infections-20150219-story.html.

For more info  I accessed the National Institute of Health's search tool and found several articles on research into that bacteria. : http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947910/ discusses the various antibiotics that are effective against carbapenem-resistant Enterobacteriaceae,. 
Quote : "The emergence of carbapenem resistance in Enterobacteriaceae is an important threat to global health. Reported outcomes of infections with carbapenem-resistant Enterobacteriaceae (CRE) are poor. Very few options remain for the treatment of these virulent organisms." And treatment : "Antibiotics which are currently in use to treat CRE infections include aminoglycosides, polymyxins, tigecycline, fosfomycin, and temocillin." And : n the USA, associated annual additional costs of infections caused by resistant organisms as compared to susceptible organisms are estimated between $21 billion and $34 billion (Spellberg et al., 2011). The Infectious Diseases Society of America (IDSA) recognizes antimicrobial resistance as “one of the greatest threats to human health worldwide” (Spellberg et al., 2011). In addition, antimicrobial resistance was the focus of the 2011 World Health Day of the World Health Organization (WHO). The impact of multidrug resistance (MDR) extends into all aspects of medicine and threatens the significant progress which has been made in transplantation, oncology, and surgery. Understandably, much emphasis has been appropriately placed on methicillin-resistant Staphylococcus aureus (MRSA). In recent years, several new treatment options have become available for MRSA. In addition, true vancomycin resistance remains fortunately rare. However, the threat of MDR in Gram-negative organisms has not led to a similar increase in novel therapeutics. The prevalence of carbapenem resistance in Enterobacteriaceae (CRE) isolated from clinical samples continues to increase globally (Prabaker and Weinstein, 2011; Rhomberg and Jones, 2009; van Duijn et al., 2011)."

And it seems there is link between CRE and Klebsiella Pneumoniae : "Over the past 10 years, dissemination of Klebsiella pneumoniae carbapenemase (KPC) has led to an increase in the prevalence of carbapenem-resistant Enterobacteriaceae (CRE) in the United States. Infections caused by CRE have limited treatment options and have been associated with high mortality rates." Entire article at http://www.ncbi.nlm.nih.gov/pubmed/?term=21653305. 

I also researched the protocols that operating rooms are supposed to use in disinfecting endoscopes. Endoscopes cannot be sterilized in the same way as metal tools because they are lasers inside of flexible tools that drill down into body parts. And the disinfection regimen must be followed exactly ´VERY TIME. There are several websites on this topic but I prefer the CDC guidelines. That is probably because I worked as Registered Nurse in operating rooms in Atlanta, GA metro area and other states' also, but I actually visited the CDC in Atlanta GA [as an RN]  and know of their caliber.

Disinfecting endoscopes protocols: http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf
and also : http://www.sgna.org/Portals/0/sgna_stand_of_infection_control_0712_FINAL.pdf
and also : http://www.infectioncontroltoday.com/reports/2012/02/high-level-disinfection.aspx
Most helpful for medical people is : http://www.cdc.gov/hicpac/Disinfection_Sterilization/3_0disinfectEquipment.html with "reprocessing [re-use] of endoscopes as section to be read carefully by those who work in operating rooms with quote : "more healthcare–associated outbreaks have been linked to contaminated endoscopes than to any other medical device" and "Because of the types of body cavities they enter, flexible endoscopes acquire high levels of microbial contamination (bioburden) during each use ." And : "On the basis of these data, APIC 113, the Society of Gastroenterology Nurses and Associates (SGNA) 38, 114, 115, the ASGE 108, American College of Chest Physicians 12, and a multi-society guideline 116 recommend alternative contact conditions with 2% glutaraldehyde to achieve high-level disinfection (e.g., that equipment be immersed in 2% glutaraldehyde at 20oC for at least 20 minutes for high-level disinfection). Federal regulations are to follow the FDA-cleared label claim for high-level disinfectants. The FDA-cleared labels for high-level disinfection with >2% glutaraldehyde at 25oC range from 20-90 minutes, depending upon the product based on three tier testing which includes AOAC sporicidal tests, simulated use testing with mycobacterial and in-use testing.The studies supporting the efficacy of >2% glutaraldehyde for 20 minutes at 20ºC assume adequate cleaning prior to disinfection, whereas the FDA-cleared label claim incorporates an added margin of safety to accommodate possible lapses in cleaning practices. Facilities that have chosen to apply the 20 minute duration at 20ºC have done so based on the IA recommendation in the July 2003 SHEA position paper, "Multi-society Guideline for Reprocessing Flexible Gastrointestinal Endoscopes" 19, 57, 83, 94, 108, 111, 116-121.  
Also, merely soaking the endoscopes in disinfectant is NOT enough. There are five steps involved in cleaning them for re-use and each step must be done, including the drying time.

"And : "In general, endoscope disinfection or sterilization with a liquid chemical sterilant involves five steps after leak testing:

1) Clean: mechanically clean internal and external surfaces, including brushing internal channels and flushing each internal channel with water and a detergent or enzymatic cleaners (leak testing is recommended for endoscopes before immersion).
2) Disinfect: immerse endoscope in high-level disinfectant (or chemical sterilant) and 
3) perfuse (eliminates air pockets and ensures contact of the germicide with the internal channels) disinfectant into all accessible channels, such as the suction/biopsy channel and air/water channel and expose for a time recommended for specific products.
4) Rinse: rinse the endoscope and all channels with sterile water, filtered water (commonly used with AERs) or tap water (i.e., high-quality potable water that meets federal clean water standards at the point of use).
5) Dry: rinse the insertion tube and inner channels with alcohol, and dry with forced air after disinfection and before storage.
Store: store the endoscope in a way that prevents recontamination and promotes drying (e.g., hung vertically). Drying the endoscope (steps 3 and 4) is essential to greatly reduce the chance of recontamination of the endoscope by microorganisms that can be present in the rinse water 116, 156.  One study demonstrated that reprocessed endoscopes (i.e., air/water channel, suction/biopsy channel) generally were negative (100% after 24 hours;"

I am posting this information here in an effort to improve the global public health. Not all bona-fide ambulatory surgery places have guidelines for sterilizing invasive scopes. Metal surgical tools have their own set of sterilization guidelines.

I also tweet about this blog with hashtags : #publichealth, #gloriapoole; #ProlifeNurse; #gloria_poole but usually not all at the same time. You can follow me on twitter on sveral twitter accts of mine but the ones that often include medical facts or info are @ProlifeNurse; @personhood1.

Statement of ownership: this blog is owned entirely by me Gloria Poole,RN, artist of Missouri. I began this blog during a disastrous 2nd marriage that ended in divorce in Oct 2007 from male DBP, after 4 horrible years of trauma and injury and terror to me,;and I removed the Pappas name from my name at the time of final divorce decree. That divorce is public record in the state of Colorado. I moved to Missouri in Oct 2009, and continued my #prolife blogging and my efforts to promote #personhood for all people including those in the womb.
Below are symbols that represent me:

This is my signature for my 2015 personal logo. I have not yet made one for my RN logo. 

This is my hand on one of my Christian cross necklaces to remind all that I am Southern Baptist believer and do not make nor worship images of GOD in accordance with Exodus chapter 20, KJV. 

This is my photo of the U S flag to remind all that I am US citizen born in state of Georgia with all civil liberties including freedom of press and freedom to worship GOD; and freedom to protest governments. 

Copyright notice 7 February 2015 at 12:36pm: This blog and all content, all words, all photos and all art on it were created and posted by me Gloria Poole , RN, artist of Missouri and Georgia. Usually I sign the art I create as simply Gloria since that is my first name I was born with but occasionally I also sing my born with surname of Poole [and if I was married my then married surname ]. . I am also known on the web and in real life as Gloria Poole; Gloria J Poole; Gloria Poole, RN, artist; and on the web as : gloriapoole; gloria-poole; gloria.poole; Ms Gloria Poole; gloriapoole.RN; gloriapoole_RN; gloriapooleRN at yahoo; gloria0817; gpoole817; artist-gloriapoole; gloriapoole-paintings; artist-gloria; Poole,Gloria; gloriapoole1749; and other variations of my real, born with, and legal name of Gloria Poole. For the record, I am a white, twice divorced Christian woman and the mother of two grown daughters who are named Jennifer and Leigh. I am also a prolife activist, blogger, artist in all mediums; photographer for my own purposes, Registered Nurse with a license in Missouri but before that for most of my life in the state of Georgia,  U.S. citizen born in the state of Georgia; University of Georgia alum, Georgia Baptist College of Nursing alum, writer, illustrator, author. This blog may not be downloaded, nor copied individually or collectively as a whole; nor have domains forwarded to it that do not belong to me, nor may the photos or art on it be reproduced or saved to disk by anyone . I create all content on this blog and I, Gloria Poole, own all rights to this blog collectively and individually as single posts. The telephones listed on this account belong to me and are in my apartment in Missouri or in my possession at all times. Some of my numbers are wired, landline telephones and some are mobile phones. This blog and all blogs that I create and that contain my words and or art and or photos that I create bel*og exclusively to me Gloria Poole, of Missouri and Georgia. Copyright. Gloria Poole /gloriapoole /gloria-poole /gloria.poole/ Ms Gloria Poole/ Poole Gloria at my apt in Missouri on 7 Feb 2015 at 12:45pm which is not shared with anyone and neither is my equipment nor phones shared with anyone, and nether is my sip account shared with anyone. Gloria Poole, RN, artist; at my apt in Missouri  on 19 Feb 2015 at 2:18pm.

Surgery on preborn helps save the baby humans: Update

I have written on this topic before in my effort to #savethebabyhumans. As a Registered Nurse with a long career I worked in a variety of paid positions. One of those was as Operating Room Circulator which is a defined role of assisting the surgeon and scrub team as the person who is not scrubbed up or "sterile" but who hands sterile supplies in a particular way to not contaminate them.  And another of those positions was as "first assistant" in the operating room, with duties to hold retractors, cut suture, be the second pair of hands for general surgeons.

The surgery on humans in the womb at the stage of development of "fetus" proves that those humans are HUMAN. The surgeons who do those surgeries eyeball and touch and operate on those tiniest humans in womb. I am including some quotes about a particular center that specializes on surgery on babies in the womb so you can read more about it and be persuaded that ending abortion as a so-called "right" is the thing to do and it is the current civil rights battle.

About the University of California at San Francisco's:
 UCSF Fetal Treatment center is the Fetal Treatment Center  with quote: "of the most experienced institutions in fetal surgery and endoscopic fetal intervention (FETENDO fetal surgery) in the world. Our dedication to research, innovation, and clinical application has included the training of many dedicated physicians.

The Fetal Treatment Center combines the talents of specialists in pediatric surgery, genetics, obstetrics/perinatology, anesthesia, cardiology, radiology, nursing, and neonatal medicine. Our team of doctors, nurses, and social workers work together to coordinate all aspects of care from diagnosis to postoperative recovery and long-term follow-up."  And: "The Fetal Treatment Center is intricately connected with the UCSF Division of Pediatric Surgery at UCSF Benioff Children's Hospital which is dedicated to providing expert surgical care for fetuses, infants, children, and adolescents with congenital and acquired conditions".[end quote]

Also, Life News has compiled some medical quotes about the scientific / medical facts of the humanity of the babies in the womb; and you can read them at the link:

http://www.lifenews.com/2015/01/08/41-quotes-from-medical-textbooks-prove-human-life-begins-at-conception/

I am asking all people with a love of THE LIVING GOD to repent of having supported the cause of killing and to turn from that, and to P.U.S.H. * until abortion is outlawed in the United States.

My profile for this blog is: 

https://profiles.google.com/106271267621391694994
 and also this one: https://www.blogger.com/profile/05381863159335675696

For those women who do not choose life, you should read this article I wrote:
My c. difficile article: https://sites.google.com/site/newsforlife/Page1

Also, I am adding in some photos and art I created to clearly identify this blog as one of mine for several reasons including copyright of my art and photos and words that I create; and for the sake of law enforcement to clearly identify me to prevent I D thieves from stealing my name or art, or anything else of mine. Also, fyi to @FBI and @Google: I received the fake Google login today to this account. The message in a woman's voice told me not to share my code with anybody and that Google "would never ask for it" but of course, Google asks for it! I set up the 2 step authorization on this account trying to prevent cyber-criminals from breaking into it. So, the code that is called to me is the login code. I know the fake code is coming from area code 202 in Washington DC because of caller ID; and  that the fake code is some sort of trick to allow criminals [probably the same ones who try to steal my T-mobile phone numbers] into my account. FYI. 

This is my signature I signed in digital ink with an electronic "brush" to create a personal logo for 2015. I also created one in paint & posted it to other blogs of mine. 

This is my photo of my left hand holding one of my Southern Baptist cross necklaces that do not have any graven images on it. The Southern Baptist/ Great Commission faith does not worship images/ idols/ icons of any body; nor does it bow to idols or statues.  I am Southern Baptist, born again Christian single woman and I worship THE LVING LORD only . You can read some of my reasons for that in Matthew 18:3-4 and also Mark 16: 15-18, King James Holy bible. 

This is one of the photos I photographed in Dec 2014 on walkabout;  of the U S flag that flies near my apartment. I post this on web sites and blogs in various photos to remind all that I am a U S citizen with First Amendment liberties to publish my religious beliefs, words, ideas, goals, actions, photos, art I create and to worship GOD; and to protest the governments without interference by governments. Google the First Amendment to read the precise words of it since this paragraph  is my summary of the rights it conveys to U S citizens. I am a U S citizen by birth and have all civil liberties of the U S Constitution 

You should see another blog of mine at https://gloriapoole.blogspot.com and the about me page on it and also these other blogs of mine that are each different and that cover different topics of #publichealth; #art; #photography; #prolife; #personhood; #gospel:

https://gloria0817.blogspot.com ; is my protest of events in Paris yesterday
https://artist-gloriapoole.blogspot.com
https://gloriapoole-paintings.blogspot.com; my most recent oil painting I painted for my #ethnicseries;
https://gloriapoole.wordpress.com
https://gloriapoole1749.wordpress.com
http://gloriapoole.tumblr.com
http://gloriapoole-UK.livejournal.com; includes how to deliver a living baby if you ever had too
http://gloriapoole.livejournal.com; includes a medical list I compiled of embryologists, anatomy, medical textbooks on these subjects
https://prolife-nurse.blogspot.com; prolife news, events and activities
https://publishing-life.blogspot.com; photos of baby in womb;
https://tapestry-of-life-LLP.blogspot.com
https://words-that-work-LLP.blogspot.com
https://save-the-baby-humans.blogspot.com; info on those who help save the baby humans
https://real-women-have-babies.blogspot.com; includes my poem I wrote  M is for Mother, a tribute to all mothers
https://gloriapoole-RN-artist.blogspot.com
https://mini-exhibition.blogspot.com ; contains many of my #ethnicseries art I created since 2006.
https://cartooning-by-gloriapoole.blogspot.com
https://news-for-life.blogspot.com; includes Bible verses about human life
https://sites.google.com/site/ArtistIllustrations; includes pencil drawings I drew of some of the stages of human development in the womb
https://salvation-is-free.blogspot.com

and other sites and blogs of mine as well.

To follow me via rss : http://feeds.feedburner.com/GloriaPoolernartistOfMissouriAndGeorgia

To follow me on twitter: @gloriapoole; @gloria_poole; @ProlifeNurse; @tweetie0817; @personhood1.

*Footnote: P.U.S.H= pray until something happens.

Copyright notice: 21 Dec 2014 at 7:00am. this blog and all content, all words, all photos, all art is owned by me, created by me Gloria Poole, and copyrighted to me. I, Gloria Poole, RN, artist of Missouri and Georgia own all rights to this blog and to all content of it. It may not be transferred to anyone anywhere whether as a whole or individually, nor may it have domains forwarded to it that do not belong to me, nor may it be reprinted, republished, downloaded, copied, printed, screen captured by anyone, photo-copied, in its entirety without my express written permission on paper that I signed and had notarized and dated for a specific one time use.  Also, see all previous posts and other blogs of mine for copyright and disclosure information that is relevant to art and photos I have created in the past and displayed publicly. I am also known on the web and in real life as Gloria and as "Gloria Poole,RN,artist of Missouri and Georgia" since Gloria Poole is my real, born with and legal name; and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; gloriapoole.RN; gloriapoole_RN; gloriapoole-paintings; gloria0817; gpoole817; artist;  "G-L-O-R-I-A"; artist-gloria; photo-by-gloriapoole; cartooning-by-gloriapoole; "Gloria J" and other variations of my real name with or without numbers after my name and with or without abbreviations of my name; and with or without my professional designation as Registered Nurse. I am a white, Southern Baptist Christian, twice divorced woman who is the mother of two grown daughters named Jennifer and Leigh who are my only "children" and the grand-mother of 7 minor children. And I am also an artist in all mediums, writer, blogger, photographer, prolife activist, personhood promoter, publisher of sorts, website creator, educated U S citizen by birth in the state of Georgia.
Gloria Poole, at my own private apartment in Missouri, which is not shared with anyone; which means no one is authorized to log into any account of mine but me, on 9 Jan 2015 at 11:19am. Update on 24 Jan 2015 at 3:46pm by me Gloria Poole,RN, artist in all mediums, at my own apt in Missouri, to add in link to article about  c. difficile which is a risk of abortions, that those who kill try to prevent women from knowing. Doing my civic duty to warn women that those who kill tiny innocents also lie about the risks involved.

Medical lesson on fevers, written by Gloria Poole, RN, artist of Missouri and Georgia

About fevers that develop suddenly

 written by Gloria Poole, Registered Nurse, artist of Missouri and Georgia

This "lesson" for the public's health is about the diagnosis and treatment of a sudden fever, and is intended as a mere guideline for anyone anywhere who develops a fever suddenly or has a family member who does; or who is expected to care for a person with a fever.  Pay attention to what other symptoms the person with a fever develops. Does shaking of body or arms and legs occur  called "chills" ? Is there a general overall feeling of not being well, called "general malaise"?  Did the person with fever lose the appetite for food? Does the person have a headache? Does the person with fever have spots or rash on face or body? Can the person swallow normally? Can the person keep down liquids? Has the person with fever lost weight? When did the fever begin? Is the fever worse at night? Does the person with a fever also have a cough? If so,, does the coughing occur in spasms? Does the coughing cause the person to spit out mucus? Are the pupils of the eyes reddened? Does the person's nose run ? Does the person have vomiting or diarrhea? Does the person have bleeding from eyes, nose, ears, rectum? 

In a normal healthy person, the normal temperature when taken by mouth varies from 96.5degrees fahrenheit [35.8  degrees Centigrade] to 99.0 degrees fahrenheit [37.2  degrees Centigrade] and usually the temperature is lowest between the hours of 2 -4 am, and highest between 6 -10pm. In very hot weather or after running, the body temperature may be 0.5 to 1.0 degrees  fahrenheit higher [03. to 0.6 degrees centigrade] temporarily. Most pharmacies sell some sort of thermometer for home use either the glass bulb sort that has mercury in it that is very durable but has to be disinfected between patients; or electronic ones which are much more expensive, have to be recalibrated at every use, and have to be replaced often.  

Infection somewhere in the body is the most likely cause of any fever. Some infections cause other symptoms within a day or two. Some fevers can persist for 3 weeks without developing other symptoms. Most common infections are viral infections including infectious mononucleosis, viral hepatitis, varicella [chicken-pox], rubeola, [measles], rubella [German measles], human immunodeficiency virus {HIV], and rickettsial infections such as Rocky Mountain spotted fever, caused by tick bites, and Q fever caused by airborne rickettsiae in dust caused by contaminated animals or by direct contact with infected animals; Lyme disease which is a spirochetal infection caused by deer ticks; and a variety of bacterial infections including infections of the pleura, biliary tract, retroperitoneum, kidney, liver, spleen; and several acute [creating a crisis] bacterial infections including acute bacterial endocarditis [bacteria affecting the outer sac of the heart] and Salmonella bacteremia [food poisoning] , and Leptospirosis caused by contact with domestic or wild animals' urine in moist soil or water.

Also, if the person with the fever has traveled to other countries that he or she does not normally live in, the diseases prevalent in those countries must be taken into consideration when arriving at a diagnosis. Some of those diseases that cause fever are malaria, dengue fever, scrub typhus, tuberculosis, ebola,  plaque caused by rodents, typhoid, tetanus.

The incubation period varies for different fevers. Incubation period means the time it takes for symptoms to develop after the person was exposed to the virus or bacteria. The incubation period for chicken-pox is 10-21 days; for German measles it is 14-21 days, for ebola it is up to 21 days after exposure, for Leptospirosis it is 4-19 days, for measles it i 9 to 11 days, for Q fever it is 14- 26 days, for Rocky Mountain Spotted fever it is 3 to 14 days.

Hypersensitivity to prescribed medicines can cause fever also, but digitalis preparations and insulin almost never are the cause of fever. Medicines that frequently cause fever because of hypersensitivity of the patient to them are: Allopurinol, Amphotericin B, antihistamines, Atropine, barbiturates, Bleomycin, Captopril, cephalosporins, Clofibrate, Ethambutol, Heparin, Hydralazine, Ibuprofen. iodides, Isoniazid, Methyldopa, Nifedipine, Nitrofurantoin, p-Aminosalicyclic acid, Penicillinamine, Penicillins, Phenolphthalein, Phenytoin, Procainamide, Propylthiouracil, Pyrazinamide, Quniidine, Salicylates, Streptomycin. Sulindac, Sulfonamides. Fever may begin [promptly with the first dose of these drugs or occur weeks later, but a person who has taken any of these for longer than 3 months' time,  is not having fever because of these drugs. A drug-induced fever may be low grade or rise to 104 degrees fahrenheit [40 degrees centigrade]. Chills do not commonly occur with drug-induced fevers. But itching, rash, eosinphilia occur in many cases. In a few cases drug induced fevers progress to serum sickness [rash, swollen lymph nodes, arthritis, nephritis, swelling . Some drugs can cause a lupus-like syndrome of fever, arthralgias, and positive anti-nuclear antibody [ANA] titers, If removing the drug causes the fever to go away, that is a definitive establishment of cause and effect. If organ damage occurred with the administration of any drug, the drug should not be taken again. Administration-related fever may occur with any medicine give by intravenous method. Some medicines cause leukopenia and fever.

Other causes of fever are vascular occlusion events such as deep vein thrombophlebitis, minor pulmonary embolus, asymptomatic myocardial  infarction [ M.I., commonly called heart attack]. Also, fever may be the only symptom of acute autoimmune hemolytic anemia or hemolytic anemia due to glucose-6-phosphate dhydrogenase [G6PD] deficiency. Some vaccines cause fever.

The people who at most at risk of developing infections are those with preexisting conditions such as lymphoma, HIV, those receiving corticosteroids, those on immuno-suppressive drugs, rheumatic valvular disease, certain congenital heart diseases, multiple myeloma, splenectomy, sickle cell disease, granulocytopenia [less than 1,000 granulocytes/mm] , advanced cirrhosis, diabetes, alcoholism, and those who use illegal substances .

Fevers lasting more than 3 weeks are usually chronic conditions such as tuberculosis, subacute bacterial endocarditis, [SBE, chronic osteomyelitis, cytomegalovirus infections, intra-abdominal abscesses, urinary tract infections, HIV, systemic lupus erythematosus, temporal arthritis, certain neoplasms especially lymphoma, acute leukemia, hypernephroma, hepatoma, pancreatic carcinoma. carcinoma of lung, bone malignancies, granulomatous hepatitis, hyperthyroidism, drug fever, inflammatory bowel disease, sarcoidosis, thyroiditis, recurrent pulmonary emboli. If fever has continued longer than 3 weeks in spite of diagnostic studies, these diseases must be considered as the possible cause of it.

To diagnose fever, start with taking a  comprehensive history from the patient. Ask the questions in paragraph one and include other questions about possible exposure to other people who have symptoms of any disease? Any travel abroad? To where, when, for how long? Are other people in the same household sick or have a fever? Does the person with a fever have any of the diseases listed in the above paragraph? Does the person with fever take any of the drugs or illegal substances listed in the paragraph about hypersensitivity ?  After the history is written see if any of it suggests a path to take to diagnose? if not, start the diagnostic work-up  to include: a chest X-ray of both lateral and posterior-anterior views, a complete blood count with differential, erythrocyte sedimentation rate, liver function tests, at least two blood cultures [aerobic and anaerobic], urinalysis, quantitative urine culture if urinalysis reveals pyuria or bacteriuria . If symptoms are severe, the patient may be hospitalized and treated with prompt anti-microbial drugs to prevent sepsis.  A physical examination should be done intermittently as long as fever persists to see if organs are being affected; and should include examination of the eyes with opthalmoscope, palpation for an enlarged or tender temporal artery, listen for a new or changing heart murmur, palpate for an enlarged  or tender thyroid gland, listen for pericardial, pleural, or hepatic friction rubs, palpate the liver, spleen, abdomen, for swelling or tenderness, examine the rectum [and prostate in men], feel for enlarged or tender lymph nodes, look at mucus membranes of mouth, eyes; look at nail beds for color and any splinter hemorrhages. Give the person with fever a PPD [Purified protein derivative test] for tuberculosis  unless there is a documented history of a positive PPD or of tuberculosis. Examine blood smears if the person has traveled to countries where malaria exists in past six months. Evaluate medicines patient takes.  If any are on the list of medicines and are not essential, discontinue them. If they are essential, change the medicine to something not on the list above that are known to cause fever.

Have patient take their own temperate twice a day for at least  two weeks and chart it so you can see if a pattern emerges? If fever persists, continue diagnostic work-up with skin tests, electrocardiogram, serum calcium level, serum titers of antistreptolysin O, rheumatoid factor, antinuclear antibody, HIV antibody, and a Monospot test and repeat the complete blood count with differential. It is important at this point to have an independent observer/ care giver to test the temperature and record it for another week. A fever of unknown origin lasting more than 3 weeks probably should be evaluated in an acute care hospital. Fevers that have other symptoms especially causing hemorrhaging or vomiting and diarrhea need to be hospitalized as quickly as possible.

It is important to note that not all fevers have to be treated. Some will run their course and the patient will get well. The use of antipyretics may not be needed but if so, aspirin is a very good anti-pyretic but may cause the patient to sweat and have shaking chills. That response can be diminished by giving the patient aspirin in dose of .03 to 0.g grams regularly at 3 to 4 hour intervals. If patient is allergic to aspirin, or at risk of bleeding,  acetaminophen may be given.  Unless the patient is acutely ill, with involvement of organs, it is considered best to hold off on treatment with antibiotics until you know what you are treating.

To prevent contamination of other persons the care taker and or medical doctor must use good handwashing technique including scrubbing under fingernails with a strong disinfectant and a nail brush and washing any part of their body that came into contact with infected person. If the virus or bacteria is airborne [spread by droplets through the breathing in and out of the infected person] then masks and covering head to toe must be  apart of the regimen of care. See the links in previous posts on how to do that. 

I referred to medical textbook, Principles of Ambulatory Medicine, edited by L. Randol Barker, MD; John R Burton,MD,;and Phillip Zieve, MD; chapter 26 to summarize and put into my own words so that average persons could understand this.

13 Dec  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer/blogger/photographer/illustrator for words that WORK, and also for Tapestry of LIFE,and also for Life Media & Publishing in years 2004-2011; and a just-for-fun-photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other variations of my real, born with and legal name of Gloria Poole  at my own, private apt in Missouri which is not shared with anyone, on 13 Dec 2014 at  9:12am.

Update on Ebola situation by Gloria Poole, RN in Missouri

Ebola is in the news very much still as it seems to me to be the 21st century version of the Black Plague. Here is some of the information available on this topic that spans 3 countries in West Africa, New York, Georgia, Texas, Maine and New Jersey. I am numbering for ease of reference. 

1) Center for Disease Control 's Morbidity and Mortality Weekly Reports: 
http://www.cdc.gov/mmwr/ebola_reports.html [ all reports] and 

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6343a3.htm?s_cid=mm6343a3_w [for week of 28 Oct 2014] with quote: "The map of the cumulative incidence of Ebola, as of October 18, indicates that the highest incidence rate (>100 cases per 100,000 population) was reported by two districts in Guinea (Guéckédou and Macenta), five districts in Liberia (Bomi, Bong, Lofa, Margibi, and Montserrado), and four districts in Sierra Leone (Bombali, Kailahun, Kenema, and Port Loko) (Figure 3).

2) The latest updates on the 2014 Ebola outbreak in West Africa, including case counts, are available at http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html. 

3) The most up-to-date clinical guidelines on the 2014 Ebola outbreak in West Africa are available at http://www.cdc.gov/vhf/ebola/hcp/index.html." 

4) Surveillance and Preparedness in NYC Report [CDC MMWR]: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6341a5.htm?s_cid=mm6341a5_w/ with quote: "the NYC Department of Health and Mental Hygiene (DOHMH), in close coordination with local hospitals and clinicians, nongovernmental organizations and community groups, and city, state, and federal agencies, established systems around Ebola surveillance and management of suspected cases and contacts, and built upon existing general protocols for early recognition and management of persons with a viral hemorrhagic fever. Objectives included rapidly identifying Ebola patients in health care settings, implementing infection control precautions, and transporting ill persons to hospitals via emergency medical services, including persons arriving on international flights into John F. Kennedy International Airport. Enhanced planning began immediately after a CDC alert about Ebola on July 28, 2014. Reporting criteria and infection control guidance were developed in collaboration with local hospitals and sent to hospitals and clinicians via an electronic health alert system on August 11. Information also was shared on three citywide conference calls and in oral presentations to target audiences (1). DOHMH developed Ebola-specific data collection forms and triage protocols and trained staff to handle calls.
The guidance instructed clinicians to call DOHMH immediately after identifying any patient meeting the CDC definition for a person under investigation (PUI): a person who traveled to an Ebola-affected area within 21 days of onset of symptoms and had fever >101.5º F [38.5º C] and compatible symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or unexplained bleeding ". ..."planning for isolation and management of PUIs or confirmed Ebola patients. DOHMH distributed posters for health care facilities to post in emergency departments to encourage patients to report recent travel history to an Ebola-affected country upon arrival.† DOHMH medical epidemiologists were available at all hours to respond to clinician and hospital questions about PUIs or other persons suspected of having Ebola, using guidance largely consistent with CDC's risk categories. Under the system, patients with high-risk or low-risk exposure to Ebola would be transferred to another hospital if there was concern about the ability of the reporting hospital to manage the patient; Ebola testing, if indicated and after consultation with CDC, could be performed at DOHMH with confirmatory testing at CDC. Patients should also undergo evaluation for alternate diagnoses. The protocol included consideration of laboratory studies such as complete blood count, coagulation studies, liver function tests, and malaria testing, to assist in determining the need for Ebola testing. Patients not needing hospitalization could remain isolated at home, with daily monitoring by telephone by medical epidemiologists until the patient's symptoms improved such that Ebola was no longer of concern, or until worsening or persistent symptoms prompted repeat evaluation for Ebola or an alternate diagnosis.
As of October 6, 2014, DOHMH had received inquiries from health care providers about 88 patients: 49 (56%) had not been in an affected area in the 21 days before symptom onset, and 28 (32%) met travel criteria but not clinical criteria. "

5) 27 Oct 2014: That ebola exposed nurse had an elevated temperature [ a symptom of #ebola] when she was discharged from quarantine in NJ  according to http://hosted.ap.org/dynamic/stories/U/US_EBOLA_US?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT;

6) http://mashable.com/2014/10/27/cdc-ebola-monitoring/?utm_cid=mash-com-Tw-main-link

7) 29 Oct 2014: http://www.bbc.com/news/health-29573993#?utm_source=twitterfeed&utm_medium=twitter

8) Krauthammer says US consensus favors quarantine of health care people returning from Africa: http://htl.li/DuWNY

9) CDC new guidelines for ebola: http://www.fiercehealthcare.com/story/cdc-issues-new-ebola-guidance-ed-workers/2014-10-28?utm_medium=nl&utm_source=internal

From CDC and FierceHealthcare: "The guidelines call on ED workers to take the following steps when treating a patient who exhibits symptoms of the deadly virus:

Take the patient's exposure history to determine whether the patient lived or traveled in a country with widespread Ebola transmission or had contact with a patient with confirmed Ebola in the previous 21 days.

If the patient meets the exposure criteria, determine if they have signs or symptoms, including a fever greater than 100.4 degrees, headache, weakness, muscle pain, vomiting, diarrhea, abdominal pain or hemorrhage.

If the patient with a relevant exposure history has the signs and symptoms, the ED must isolate the patient in a private room or separate enclosed area with private bathroom or covered, bedside commode and adhere to procedures and precautions designed to prevent transmission by direct or indirect contact (e.g. dedicated equipment, hand hygiene, and restricted patient movement).

If the patient arrives by ambulance, ED workers should meet the patient in a designated area away from other patients and have a process in place for safely transporting the patient on the stretcher to the isolation area with minimal contact with non-essential healthcare workers or the public.

To minimize transmission risk, only essential healthcare workers with designated roles should provide patient care. Maintain a log of all personnel who enter the patient's room. All healthcare workers who have contact with the patient should put on appropriate PPE based on the patient's clinical status.

Healthcare workers should follow the PPE recommendations if patients require invasive or aerosol-generating procedures, such as intubation, suctioning or active resuscitation) and use equipment dedicated to the patient in a pre-designated area.

At minimum, healthcare workers should wear a face shield, surgical face mask, impermeable gown and two pairs of gloves. Do not use the same equipment used to care for these patients on others until appropriate evaluation and decontamination.

Notify the hospital's infection control staff and report the case to local health departments." Read entire article: http://www.fiercehealthcare.com/story/cdc-issues-new-ebola-guidance-ed-workers/2014-10-28?utm_medium=nl&utm_source=internal

10) A 21 day quarantine was also imposed on U S astronauts and they didn't whine about it. Quarantine guideline for astronauts included 21 day quarantine: http://en.wikipedia.org/wiki/Mobile_Quarantine_Facility [tweeted to me by NYCCouncilWatch and Seth Barron] 

11) 30 Oct 2014: Comprehensive report on ebola: http://www.bbc.com/news/world-africa-28754546 includes "The Basics" of http://www.bbc.com/news/health-29556006. Remember getting droplets of contaminated fluid into the eye is being exposed to ebola since the mucus membrane lining of the eye will absorb the virus into bloodstream. 

 12) NEVER, NEVER, Never eat bats! They are carriers of several diseases  including rabies and ebola that infect humans.

13) Quote: ""Upon learning the healthcare worker intends to defy the protocols, the Office of the Governor [of Maine]  has been working collaboratively with the state health officials within the Department of Health and Human Services to seek legal authority to enforce the quarantine," the governor said. " From: http://www.reuters.com/article/2014/10/29/us-health-ebola-usa-idUSKBN0II1SP20141029?feedType=RSS&feedName=topNews&utm_source=twitter

14) http://www.newsmax.com/newswidget/us-ebola-military/2014/10/29/id/603835/?Dkt_nbr=16D5D-1&nmx_source=Atlanta_Journal_Constitution_Generic&nmx_medium=widget&nmx_content=109&nmx_campaign=widgetphase2

15) To start early intervention on any suspected of exposure to ebola you can follow The Rehydration Project  formula [how to make oral rehydration solutions at home] :http://rehydrate.org/solutions/homemade.htm w/ quote: "Made at home: ORS Solution A special drink for diarrhoea:

Give the child a drink made with 6 level teaspoons of sugar and 1/2 level teaspoon of salt dissolved in 1 litre of clean water. Be very careful to mix the correct amounts. Too much sugar can make the diarrhoea worse. Too much salt can be extremely harmful to the child. Making the mixture a little too diluted (with more than 1 litre of clean water) is not harmful."

Also, note that I am purposefully not linking any of these articles because someone tried to hijack my blog today and it took three tries to get the call to come through to login, because cyber-thugs tried to intercept my telephone as they broke into my telephone line.  You will have to copy and paste links into your browser.

30 Oct  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole. and also https://picasaweb.google.com/gloria0817. and on my fickr and Live online albums including :

https://onedrive.live.com/redir?resid=C639F79DB1F3CD87!141&authkey=!ADvZXW1HkLqT0OQ&ithint=folder%2cjpg

& https://onedrive.live.com/redir?resid=C639F79DB1F3CD87%21145.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer/blogger/ illustrator/photographer for words that WORK, and  also for Tapestry of LIFE and previously for Life Media 7 publishing when I owned the domains of it and was building up a publishing company [before cyber-criminals and thugs set out to kill me and annihilate me from the web in yr 2011] , photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other variations of my real, born with and legal name of Gloria Poole, at my own, private apt in Missouri which is not shared with anyone, on 30 Oct 2014 at  1:18pm.

Ebola is in New York now.

The ebola virus arrived in New York today according to the news with the arrival of a medical doctor who had worked with ebola patients in West Africa. I am making an effort as a conscientious Registered Nurse [of  26 year career but not employed in it now] for the sake of the publics' health.

There is much in the news in every mainstream news about this so I am going to post links to the articles here so anyone can read them all together in one place. Also, remember that this is the third post on this topic and that there is more information on the previous 2 posts about ebola so scroll back to read those.

20 Oct 2014: ebola articles:

How ebola spreads : http://hosted.ap.org/dynamic/stories/U/US_MED_EBOLA_HOW_IT_SPREADS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

Center for Disease Control issues new guidelines:
http://www.nytimes.com/2014/10/21/us/cdc-issues-new-guidelines-for-ebola-care.html?partner=rss&emc=rss&smid=tw-nytimes&_r=0

23 Oct 2014: "the Missouri State Public Health Laboratory had been designated as an Ebola testing laboratory by the Centers for Disease Control and Prevention." http://www.columbiatribune.com/news/politics/senators-urge-travel-restrictions-stronger-state-response-to-ebola/article_7a262a81-e3d5-5b08-a84c-41987db40f93.html

"Ebola, a Category A bioterrorism agent. "... "could potentially be used as bioweapons. " From http://time.com/3532057/ebola-bioweapon-terrorism/

http://www.usatoday.com/story/opinion/2014/10/23/cdc-ebola-gamble-public-confidence-trust-truth-not-clueless-czar-column/17800077/ w/ quote; "First, the CDC insisted that Ebola is very difficult to transmit from person to person. But, that is clearly not true. This particular Ebola strain appears to be more infectious than others." and it suggests it may be airborne since it is amongst animals.

Washington Post wrote and illustrated protocol for preventive gear for ebola: http://apps.washingtonpost.com/g/page/national/protection-from-ebola-a-complicated-procedure/1374/?Post+generic=%3Ftid%3Dsm_twitter_washingtonpost

"All three modules will be available for free on the CDC's website in the coming weeks and later available to the millions of iOS users on iTunes U."http://hub.jhu.edu/2014/10/24/cdc-ebola-training-module

http://www.forbes.com/sites/elaineschattner/2014/10/23/doctors-ebola-case-points-to-need-for-a-frank-assessment-of-risk-to-the-community/?utm_campaign=techtwittersf&utm_source=twitter&utm_medium=social

7 Oct 2014 at 1:50pm
L A times' article on ebola indicates many researchers are very uncertain about its transmission: http://www.latimes.com/nation/la-na-ebola-questions-20141007-story.html#page=1

Also Discussion of travel ban of west African countries of Sierra Leone; Liberia and  Guinea :
Discussion travel ban on 3 west African countries: http://online.wsj.com/articles/travel-ban-over-ebola-may-bring-other-troubles-1413748220?tesla=y&mod=djemITP_h&mg=reno64-wsj&url=http://online.wsj.com/article/SB10800882878353264346304580220670732365144.html?mod=djemITP_h

Associated Press article  "
US health providers expand their Ebola precautions " on precautions being implemented  by health care professionals to quarantine ebola; including asking if patients have traveled to West Africa and teaching cab drivers, first responders how to contain the body fluids of anyone who has traveled to West Africa :http://hosted.ap.org/dynamic/stories/U/US_EBOLA_PREPARATIONS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

 NY Times op-ed suggesting screening at all airports in US for signs/symptoms of ebola: http://www.nytimes.com/2014/10/07/opinion/stopping-ebola-in-america.html?hp&action=click&pgtype=Homepage&module=c-column-top-span-region&region=c-column-top-span-region&WT.nav=c-column-top-span-region&_r=0

The numbers have changed but this article contains some important information: 
Quote: "Ebola has killed more than 3,400 people in West Africa, with more than 7,400 suspected, probable and confirmed cases." And: "The virus is transmitted through close and direct physical contact with infected bodily fluids, the most infectious being blood, faeces and vomit. The incubation period from time of infection to symptoms is two to 21 days."  From CNN article that says ebola has been transmitted to Spain and that EU is holding conference to plan a strategy.  From :http://www.cnn.com/2014/10/07/world/europe/ebola-spain/index.html?hpt=hp_t2

 Article on experimental drugs being used to treat ebola: http://www.cnn.com/2014/10/06/health/ebola-drugs-in-the-works/index.html

7 Oct 2014: I published the post I created yesterday and today as one post to google documents on topic of ebola: https://docs.google.com/document/d/1DWXvFw8rW3qrEAo04BXULU6pIpLYo8Dwwb4-ZIUylag/pub

Also remember that every crisis produces attempts by some to defraud to get dollars for creating fake vaccines .
24 Oct 2014:   "Federal prosecutors accuse Korean-born researcher Dr. Dong Pyou-Han of deliberately falsifying key blood research into a possible vaccine for HIV."..." the NIH has given about $58 million in funds to science that turned out to be phony over the past 22 years."http://www.cnn.com/2014/10/20/us/ac-alleged-science-fraud-investigation/index.html?hpt=ju_c2

My profile for this blog: 

https://profiles.google.com/106271267621391694994/about

 I also write and create these other prolife /personhood blogs:

https://prolife-nurse.blogspot.com

https://publishing-life.blogspot.com

https://save-the-baby-humans.blogspot.com

https://real-women-have-babies.blogspot.com

https://tapestry-of-life-LLP.blogspot.com

https://sites.google.com/site/OptimumHealthisAchievable

https://sites.google.com/site/wordslife

https://sites.google.com/site/wordslife2 {It's all about ending abortion}

http://gloriapoole.livejournal.com

http://gloriapoole-UK.livejournal.com

Remember each is different.

Ownership and copyright information of this blog: 

You can follow me on twitter on these twitter accounts of mine: @ProlifeNurse; @personhood1; @gloriapoole; @gloria_poole @Tartan_Bliss and @tweetie0817. I categorize my tweets somewhat and usually put prolife, personhood, medical news, news that pertains to human life on my @ProlifeNurse and @personhood1 twitter accounts.  I put tweets about art I create, photos I photograph and my personal life on my @gloriapoole and @gloria_poole. I put tweets and news that concerns other countries, Royals, [Monarchs] and retweet the photos sent to me often on all of my accounts but to a much greater degree on @Tartan_Bliss and @tweetie0817. 

24 Oct  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere, nor have domains forwarded to it that do not belong to me, and the art, words and photos I create may not be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art and photos and words I have already created : the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer/illustrator/blogger/photographer for words that WORK, and  also for Tapestry of LIFE, photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse,  and other variations of my real, born with, legal name of Gloria Poole, at my own, private apt in Missouri which is not shared with anyone, on 24 Oct 2014 at  4:05pm.

The ebola virus is in U S, now what? : Update2

 Ebola is in the news much as some epidemiologists think it has the potential to become pandemic. And it is in the U S since patients with it have been admitted to Emory University Hospital in Atlanta, GA, and in Texas and in Nebraska. Remember it is a contagious disease and is carried through blood and body secretions of infected persons. I am posting some links to very well-written articles on this subject and also on the subject of sepsis which is bacteria in the bloodstream throughout the body. Ebola is a virus but some of the same emergency measures are used in any critical situation so I am including the American Journal of Nursing guidelines for  sepsis. 

Very good audio -visual of ebola infection: 
http://www.washingtonpost.com/wp-srv/special/health/ebola-effect-on-body/?Post+generic=%3Ftid%3Dsm_twitter_washingtonpost;


And on the subject of what the U S containment of ebola might involve [quarantine] :  http://www.forbes.com/sites/scottgottlieb/2014/08/12/if-ebola-arrives-in-america-some-controversial-tools-could-be-used-to-stop-it

CDC Offers Ebola Guidance for Health Care Providers : http://www.nursingcenter.com/lnc/HealthdayArticle?Article_id=692307

Associated Press article  :
"US health providers expand their Ebola precautions " on precautions being implemented  by health care professionals In US to quarantine ebola; including asking if patients have traveled to West Africa and teaching cab drivers, first responders, how to contain the body fluids of anyone who has traveled to West Africa :http://hosted.ap.org/dynamic/stories/U/US_EBOLA_PREPARATIONS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

 NY Times op-ed suggesting screening at all airports in US for signs/symptoms of ebola: http://www.nytimes.com/2014/10/07/opinion/stopping-ebola-in-america.html?hp&action=click&pgtype=Homepage&module=c-column-top-span-region&region=c-column-top-span-region&WT.nav=c-column-top-span-region&_r=0


 Quote: "Ebola has killed more than 3,400 people in West Africa, with more than 7,400 suspected, probable and confirmed cases." And: "The virus is transmitted through close and direct physical contact with infected bodily fluids, the most infectious being blood, faeces and vomit. The incubation period from time of infection to symptoms is two to 21 days."  From CNN article that says ebola has been transmitted to Spain and that EU is holding conference to plan a strategy located at http://www.cnn.com/2014/10/07/world/europe/ebola-spain/index.html?hpt=hp_t2

 Article on experimental drugs being used to treat ebola: http://www.cnn.com/2014/10/06/health/ebola-drugs-in-the-works/index.html

Washington Post wrote and illustrated recommended CDC protocol for preventive gear for ebola: http://apps.washingtonpost.com/g/page/national/protection-from-ebola-a-complicated-procedure/1374/?Post+generic=%3Ftid%3Dsm_twitter_washingtonpost

How ebola spreads : http://hosted.ap.org/dynamic/stories/U/US_MED_EBOLA_HOW_IT_SPREADS?SITE=MOCOD&SECTION=HOME&TEMPLATE=DEFAULT

 Recognizing sepsis in the adult patient: http://journals.lww.com/ajnonline/Fulltext/2009/03000/Recognizing_Sepsis_in_the_Adult_Patient.34.aspx

Sepsis Awareness and Guidelines: 
http://ajnoffthecharts.com/2014/10/06/as-sepsis-awareness-increases-and-guidelines-change-timing-remains-crucial/

My profile for gloriapoole-RN-artist: 
https://profiles.google.com/106271267621391694994/about

My about me page as a web page: 
https://www.blogger.com/blogger.g?blogID=1772968733286158440#editor/target=page;pageID=1556774469034784766;onPublishedMenu=pages;onClosedMenu=pages;postNum=0;src=link

You may find more of the blogs I own and write on the prolife cause at; and remember each is unique with different content:
https://save-the-baby-humans.blogspot.com
https://real-women-have-babies.blogspot.com
https://prolife-nurse.blogspot.com
https://publishing-life.blogspot.com
https://words-that-work-LLP.blogspot.com
https://tapestry-of-life-LLP.blogspot.com
http://gloriapoole.livejournal.com
https://gloriapoole-UK.livejournal.com
https://news-for-life.blogspot.com
https://salvation-is-free.blogspot.com


You may find more of the blogs I own and write and post art I create too :

https://gloriapoole.blogspot.com
https://artist-gloriapoole.blogspot.com
https://gloriapoole-paintings.blogspot.com
https://artist-gloriapoole.blogspot.com
https://words-that-work-LLP.blogspot.com
https://tapestry-of-life-LLP.blogspot.com
http://gloriapoole.wordpress.com
https://gloriapoole1749.wordpress.com
https://gloria0817.blogspot.com
https://gpoole817.blogspot.com

Also, I, Gloria Poole, have a Registered Nurse license in Missouri, and I also draw, sketch, paint, tweet, blog on many topics including health care and public health.  Doing what I can do to help improve the worlds' public health is a "labor of love" --it is not something I get paid to do. 

Because I have had an on-going [for nearly 10 years] battle to try to hold onto my NAME and my identity on the web, I am also posting a lengthy Copyright notice to make it clear who owns this blog and who owns the copyright to my words and art [me] and who writes this blog.

6 Oct  2014: Copyright notice: this blog and all content on it is created by me and owned by me  Gloria Poole residing in Missouri but born in the state of Georgia, and it is covered by U S copyright law. I, Gloria Poole, own all rights to this blog and to all content on it, all words, all photos, and all art represented by photos that I photographed. I have the actual, tangible art I created and photographed.  This blog and or its individual posts may not be transferred to anyone anywhere,nor have domains forwarded to it that do not belong to me, nor be saved to disk, nor downloaded, nor printed at remote,  nor copied, nor photo-copied [screen-captured] , nor in any way with any method be reproduced. I, Gloria Poole, own all rights to all words, art and photos I create  with any method of technique or medium on any surface anywhere any location any reason or no reason, whether or not I photograph it on any camera, phone, etc, and whether or not I publicly display it anywhere. I have never signed a blanket waiver of my copyrights to art I have created and do not have an artist's rep [agent], nor literary agent to represent me, and never did.  I drew,  painted, signed, photographed and uploaded all art on this blog and on any blog of mine.

For the record and to establish provenance of art I have already created also: the art I have created and signed and posted to this blog of mine is part of an on-going series of art I created since year 1991 beginning in Atlanta, GA that "blossomed"  in year 2005 in  Aurora, Colorado when I lived there for one year [May 2006-May 2007], and art began to really become an integral part of my efforts to save the baby humans from premeditated destruction. In 2005, I began to realize I could use the art to illustrate my talking points in some cases, and to build a secondary "career' for me as artist.  In the year 2006 when I had endured and lived to tell about it a violent crash down a flight of stairs and had trauma, fractures, concussion, because my then-husband DBP tried to kill me to 'make it look like an accident" and he tried to twist off my broken leg, I had immobility for months except on crutches and walking boot after surgery to repair fractures and implant metal. As I sat with leg propped up I began to draw daily and paint to occupy the time and my mind. I also began to post art to the web on my blogs and websites, and also photographs I had photographed. I began a series of art then that is named "ethnic series by Gloria" [me] to attempt to draw and paint an art work of every ethnic group tribe, language, culture in the world and I created eight initial oil paintings in the first batch and posted them to the web on domains of mine.  I moved from Aurora to zip code 80203 for 2 and 1/2 years and then moved to Missouri on Oct 31, 2009 with the art I had in my possession at that time. I paint some of the sketches I created  in do-overs into oils on canvas and those are very visible on the web. I put many of them on my mini exhibit of art at https://mini-exhibition.blogspot.com, and also on my Picasa albums at https://picasaweb.google.com/gloriapoole.

 I, Gloria Poole, am a white, Southern Baptist Christian, brown-haired woman, single-again, twice-divorced,natural mother of only two children who are grown daughters named Jennifer and Leigh, and also a republican, personhood promoter, prolife activist-blogger, photographer, artist in all mediums, poet, author, illustrator, cartoonist, writer, University of Georgia alumna, U S citizen born in the state of Georgia [but I lived in several places including New York, UK briefly, Nebraska, South Carolina, Colorado, Virginia, North Carolina], former TV producer,tweeter, Registered Nurse licensed in Missouri [but before that in Georgia, UK, other states], owner/writer for words that WORK, and Tapestry of LIFE, photographer, and citizen journo . Gloria Poole is my real, born with legal name and I resumed my full maiden name including my surname of Poole legally by Court order at the time of divorce from male DBP in Colorado in Oct, 2007 at Centennial, Colorado; and I also removed the Pappas name from my name forevermore at the time of final decree in Oct 2007 . I was glad to end that four year horrible marriage of multiple trauma and injuries to me caused by male DBP, [which I testified about in Court on several occasions ].  That second divorce is public record in the state of Colorado, and my first divorce is public record in the state of Georgia. I have created art regularly since 1991, and I had formal training in drawing and in mixing colors /paint and painting in oils and I post much of the art I create on blogs of mine. You can see some of that art on one of my name blogs at https://gloriapoole.blogspot.com and see the about me page of that blog for the list of art blogs I own and post art too, that are all different. .

Copyright. Gloria Poole also known as Gloria on art I create and sign and in real life since it is my real, born with first name;  and as  Gloria Poole, RN, artist and on the web as : gloriapoole; gloria-poole; gloria.poole; artist-gloriapoole; @gloriapoole; @gloria_poole; gloria0817; gpoole817; Ms. Gloria Poole; Poole.Gloria; gloriapoole-paintings; cartooning-by-gloriapoole; photo-by-gloriapoole; gloriapoole.RN; gloriapooleRN at yahoo in which the RN is standard abbreviation for Registered Nurse, and other variations of my real, born with, legal name of Gloria Poole, at my own, private apt in Missouri which is not shared with anyone, on 6 Oct 2014 at  1:27pm. Updated by me Gloria Poole, RN, artist  of Missouri on 7 Oct 2014 at 6:58 am to add four more links to articles in the news that might be helpful to countries abroad [and of course the U S too] in diagnosing, treating and preventing the spread of ebola. My thanks to all news agencies for their help. Update by me Gloria on 13 oct 2014 to add the AP and Washington Post articles to add to the database of information available to world on topic of ebola.