Dog Bite in Delhi

#16 Jan 8th, 2019, 16:37
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#16
I knew a Swiss guy who died in Pondicherry of Rabies. He had to be tied down to the bed, and was foaming from his mouth. Must have been a miserable miserable death.

Maybe that is what the last sentence in the above linked article is referring to, that 72 health care providers had to be treated in relation to this case, and that alone at a cost of more than $200'000. Must be very difficult to care for such a terminal patient.

The disease is thousands of years old. Imagine how many people died of it through the centuries.
#17 Jan 8th, 2019, 22:50
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#17

Dog Bite in Delhi

In the second American caught-in-India case I heard of, no hospital would take the woman with rabies.
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#18 Jan 9th, 2019, 02:57
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#18
When I was a house officer in a government hospital in India a long long time ago, we had an isolated building ( more like a kennel) where rabies patients were 'kept'

As Nick-H said no private hospital was willing to take the patient. It is one of the worst ways to die .
#19 Jan 9th, 2019, 04:17
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#19
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Originally Posted by ukdoctor View Post no ... hospital was willing to take the patient.
In this instance, in USA.
#20 Jan 9th, 2019, 11:29
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#20
Its extremely rare but some people survive. However, they never show the people that do because of the devastating damage..
#21 Jan 9th, 2019, 12:46
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#21

Dog Bite in Delhi

According to my unscholarly and insubstantial research...

i) extreme and experimental treatment has occasionally delivered a success.

ii) One woman just got better and walked out of the hospital, refusing to have anything to do with docs desperate to study her in an attempt to find out how and why.

i is probably not going to be available.

ii is probably not going to be you or me.

Google says that the above applies to 55,000 people a year. "Everyone," in practical terms, is no exaggeration.

Of course, we don't know how many people take granny's secret herb and are back at work the next day. Culpepper lists several cures. But Culpepper is as much astrology as it is herbal medicine.

And I'll bet on the inoculations rather than on finding that granny if I need her!
#22 Jan 9th, 2019, 12:56
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#22
But it needs to be done within 24 hours.

Also, of those 55000 world-wide, 35% are from India alone - 18-20000 per year. Another world record for India.
#23 Jan 9th, 2019, 13:11
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#23
Quote:
Originally Posted by kmalik View Post CDC: Va. woman died from rabies after yoga retreat in India
I saw that article and wondered why something from 2017 was reported now.

I actually posted that story on one of my FB pages with an admonition and immediately got responses: "i care for all street animals in india!" and "I do know some folks who do play with the little furries and they are fine."

I said, well, if I cut myself with a dirty gardening tool I'm getting a tetanus shot even tho I might not get tetanus.


Quote:
Originally Posted by Nick-H View Post In the second American caught-in-India case I heard of, no hospital would take the woman with rabies.
Quote:
Originally Posted by Nick-H View Post In this instance, in USA.
A hospital in USA would NOT take the woman with rabies?! I find that very hard to believe. Where was this? One can walk into an ER for anything, even a simple cold or a cut finger that needs one stitch. Where I live -- which is why I ask where is this American hospital that didn't take the woman -- EVEN IF a dog or cat was vaccinated and bites someone the animal will be taken away for rabies observation or put down just in case and the person gets treatment.
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#24 Jan 9th, 2019, 17:27
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#24
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Originally Posted by Sama View Post A hospital in USA would NOT take the woman with rabies?! I find that very hard to believe. ...
Me too. But as I remember the story I was told, she went to several hospitals, and was told by them all that they did not have facilities for end-of-life rabies care. In the end she locked herself up in her apartment and let people know that she would be dead soon. I imagine that the concern was that the patient would become violent. But hospitals deal with that stuff, right?

Now... I am fairly sure I didn't dream this all up (seriously: it happens!) and I am racking my brain to recall the source. And I can't. If it was the same source as my other rabies story, the doc who's friend died, then it would be solid. But I can't be sure. I have a brain-cell hole where the conversation was.

So take story 2 with a pinch of salt. Story 1, though, is solid: personal experience of a friend who witnessed his friend's death after a bite which happened when he was visiting family in India. He assured me that it was horrible.

Quote:
"I do know some folks who do play with the little furries and they are fine."
My vet told me that they get booster shots every year. He seriously advised me that if I was going to have much to do with stray dogs or cats, to do the same. My cats are inoculated against rabies.

Mission: to scare people who think like that about the furries. Not everyone who comes to India needs rabies shots. If they intend not to keep the wildlife at arms length, it is a good idea. And if they do get bitten, or even licked on broken skin, they must treat it as an emergency and start the shots. Even for something that looks trivial. A major dog bite is obviously going to have them in casualty anyway.

And... yes, people should have tetanus inoculation before visiting their own garden.
#25 Jan 9th, 2019, 21:42
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#25
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Originally Posted by Nick-H View Post she went to several hospitals, and was told by them all that they did not have facilities for end-of-life rabies care.
That's why I asked where this was. Major metropolitan area or some rural hospital where the next hospital would be 100 miles away?

For one thing, if a hospital turns someone away and they later die that's a lawsuit waiting to happen.

Secondly, if one hospital can't help I can't believe someone like a dr would not call around to see where the woman could go.

But given the treatment I received in an emergency room two months ago nothing surprises me anymore about the American healthcare system.
#26 Jan 9th, 2019, 23:56
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#26
If I can sort out the brain cell, and ID the source, I'll check. It is within the past few months. Which may mean I'll remember it in five years time!

Age !
#27 Jan 10th, 2019, 16:05
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#27
In Germam the common term for Rabies is Tollwut, which literally translates as Insane-Rage. This just about describes what happens with a patient in an advanced stage.

So the part about being dead soon is the easy part, in relation to what happens in the weeks or days leading up to it.
#28 Jan 11th, 2019, 14:42
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#28
Now if it isn't life threatening it could happen in Texas if uninsured. When I was in a bad state I mustered all my strength to whisper A & M in order to prove I had insurance. But, nobody is going to let a public health hazard free to roam..

https://www.livescience.com/38922-ra...ic-health.html
#29 Jan 11th, 2019, 18:11
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#29

Dog Bite in Delhi

Yes... Bats.

And, as many visitors to India don't realise, monkeys. I think any mammal? We can do the zoology on that, but better to be safe than sorr... Erm, dead.
#30 Jan 12th, 2019, 04:07
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#30
A friend got bit by a monkey in Rishikesh. She went to get rabies shots immediately.

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