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Meryl Nass

* Hospitalist, Mount Desert Island Hospital (2003 â?? present) * Private Practice, Freeport, Maine, 4 years (ended 2002 with surgery for a spinal meningioma) * Chair of Pharmacy and Therapeutics Committee (2006 â?? present) * Director of... Full Bio
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After Ebola survival, perhaps 40% go on to develop chronic illnesses/ Al Jazeera by Meryl Nass Posted in: Blog Posts in General Medicine I wrote about the fact there was a "post-Ebola syndrome" here , which might include visual problems (usually due to uveitis), joint pains, and psychological issues.  It was ... Read on »
Ebola in Africa: Describing and Managing the Disease/ NEJM-MSF by Meryl Nass Posted in: Blog Posts in General Medicine The NEJM published a piece written primarily from Medicins Sans Frontieres clinicians who have worked in Liberia, describing the clinical course of Ebola patients, and concl ... Read on »
Excellent theoretical approach to treating Ebola, from 3 Hong Kong scientists/ BioMedCentral by Meryl Nass Posted in: Blog Posts in General Medicine Just out as a provisional pdf (final version is in production), 3 scientists have reviewed the totality of the published data on Ebola therapeutics, and come up with a frame ... Read on »
Transparency International Issues Corruption Index Before UN and World Bank meetings on... by Meryl Nass Posted in: Blog Posts in General Medicine The following story describes this year's publication of the famed Corruption Perception Index by Transparency International. This annual country metric gets widely discuss ... Read on »
Common Sense Approaches to Improving Ebola Survival/ The Lancet by Meryl Nass Posted in: Blog Posts in General Medicine I have been talking about how one might improve clinical care of Ebola patients, and the need for trials to identify the best treatments, best empiric iv fluids, etc.  Thi ... Read on »
Movin' On Up: Now the US will have 53 Ebola-ready hospital beds/ WaPo by Meryl Nass Posted in: Blog Posts in General Medicine I guess 53 beds (located in 35 hospitals) is progress, but not a lot of progress... when you consider that in Africa there have been more than 53 cases from a single town. ... Read on »
When Health Care is not a Public Good, why would hospitals agree to take Ebola patients?/ WaPo by Meryl Nass Posted in: Blog Posts in General Medicine The WaPo explores which hospitals will be approved by CDC to treat Ebola patients, and whether hospitals will lose or gain from such a designation . Treating an Ebola ... Read on »
Ebola Treatment: $1 Million/patient here with 80% survival; $20/patient in Africa with 35%... by Meryl Nass Posted in: Blog Posts in General Medicine I have been desperately seeking ideas to get us to that sweet spot: where medical providers will know how to manage Ebola in Africa, and their treatments will keep most Ebol ... Read on »
Has CDC stopped testing for H1N1 because the pediatric vaccine isn't working against H1N1? by Meryl Nass Posted in: Blog Posts in General Medicine The Tampa Bay Times  (see below) reported today that two Florida children had died of flu. Which is odd, because if you scroll down to the current CDC charts below you will ... Read on »
Americans' Ratings of CDC Down After Ebola Crisis: Gallup by Meryl Nass Posted in: Blog Posts in General Medicine From Gallup :  Americans' Ratings of CDC Down After Ebola Crisis No other agencies measured showed a decline in ratingsPRINCETON, N.J. -- Americans' ratings of the jo ... Read on »
Experts Tell Congress We Really Need High-Containment Facilities for Ebola (as I've been saying)/... by Meryl Nass Posted in: Blog Posts in General Medicine From NBC News: ... Although the CDC initially said any U.S. hospital should be able to care for an Ebola patient, Gold (Chancellor of the University of Nebraska Medical ... Read on »
The Abundance of Caution has returned by Meryl Nass Posted in: Blog Posts in General Medicine A woman arrived in NY 3 weeks ago from Guinea and was being monitored (presumably by phone) daily and allegedly had no Ebola symptoms.  But she just died.  No one seems to k ... Read on »
A Sticky Issue: Quarantining Semen (or sweat) in India after Ebola Recovery/ TIME by Meryl Nass Posted in: Blog Posts in General Medicine US media have been silent about this elephant in the room: those who recover from Ebola are likely to have positive PCR tests of semen, vaginal fluid , breast milk, and sk ... Read on »
Military and Nebraska Medical Experts Weigh In on Containment Needed for Ebola/ Annals of Internal... by Meryl Nass Posted in: Blog Posts in General Medicine Click here for the full, free text.  Ideas and Opinions | online 16 October 2014 Caring for Patients with Ebola: A challenge in Any Care Facility Mark G. Kortepeter, MD, ... Read on »
Better approach to conducting Ebola treatment trials in Africa by Meryl Nass Posted in: Blog Posts in General Medicine Admittedly, I am biased about how I think clinical trials should be conducted.  I believe they necessitate the very finest care of patients, meticulous ethical conduct, and ... Read on »
IOM workshop admits they don't know what we said they don't know by Meryl Nass Posted in: Blog Posts in General Medicine Ten months into the out-of-control Ebola epidemic, and 38 years since the first Ebola epidemic, the DHHS Assistant Secretary of Health for Preparedness, Nicole Lurie, had a ... Read on »
Ebola Clinical Illness in Well-Described Patients: The US healthcare system can only successfully... by Meryl Nass Posted in: Blog Posts in General Medicine Let me start this piece with the bottom line: I want to be clear that patients with Ebola virus disease are sicker, in general, than patients with any other medical conditio ... Read on »
Disinfecting Ebola: New Questions by Meryl Nass Posted in: Blog Posts in General Medicine I previously recommended alcohol hand rub (usually 70% ethyl or isopropyl alcohol) to kill Ebola on hands and gloves, which CDC recommends , along with soap and water. Fr ... Read on »
Can the American people now learn what it takes to keep someone with Ebola alive? by Meryl Nass Posted in: Blog Posts in General Medicine According to the Washington Post , NY's Bellevue Hospital plans to discharge Dr. Craig Spencer tomorrow. This is great news.  Everyone who has been treated in the US, with ... Read on »