NYC Ebola Patient's Condition Worsens As Fiancee Returns Home

New York City health officials have released Morgan Dixon, the 30-year-old fiancée of recently diagnosed Ebola patient Dr. Craig Spencer, to her West 147th Street Manhattan apartment where, as WSJ reports, she will remain under mandatory quarantine. This 'good' news comes as New York's Department of Health issues a statement on the deteriorating condition of Dr. Spencer who "is entering the next phase of the illness, which is anticipated gastrointestinal symptoms." This was expected apparently, as NYC's health commissioner Mary Basset noted, "we've seen with this disease that it continues to get worse before it gets better." A large CDC team is actively involved.

 

 

The good news... (via WSJ)

New York City health officials were preparing Saturday to release the fiancée of a recently diagnosed Ebola patient to her Manhattan apartment where she will remain under quarantine.

 

Morgan Dixon, 30 years old, was in close contact with Dr. Craig Spencer since he returned to his New York City home on Oct. 17 from treating Ebola patients in Guinea, officials said, and had been with her fiancé at Bellevue Hospital Center since he was diagnosed with the virus on Thursday.

 

Ms. Dixon was free to leave the hospital Saturday, according to Dr. Bassett. She had no symptoms and had been admitted out of caution, the health commissioner said.

 

Dr. Bassett said she was confident the city had tracked down everyone that Dr. Spencer had come into contact with.

The bad news...Dr. Spencer's condition deteriorates...

Ebola patient entering next phase of illness, which is anticipated gastrointestinal symptoms, according to joint statement from Health and Hospitals Corp., Department of Health and Mental Hygiene.

 

Patient is awake and communicating

 

Bellevue clinical team is in constant communication with CDC and other leading medical centers such as Emory University Hospital and Nebraska Medical Center

 

Large CDC team has been advising Bellevue staff

 

In addition to required supportive therapy, Bellevue initiated antiviral therapy within hours of admission; also administered plasma therapy yesterday; these therapies have been used at Emory and Nebraska

"We've seen with this disease that it continues to get worse before it gets better," Dr. Bassett said.

*NY EBOLA PATIENT RECEIVED CHIMERIX'S BRINCIDOFOVIR (the same drug that did not work for Thomas Duncan in Dallas)

As NY Times reports,

The statement was careful not to convey a sense of pessimism, and patients undergoing treatment can worsen before they recover. In a brief telephone interview from his room at Bellevue, Dr. Spencer spoke in a neutral tone that seemed stripped of illusions: “I’m still undergoing treatment,” he said.

*  *  *

Joint Statement of Health and Hospitals Corporation and Department of Health and Mental Hygiene

The patient at Bellevue Hospital Center is entering the next phase of his illness, as anticipated with the appearance of gastrointestinal symptoms.

 

The patient is awake and communicating. The Bellevue clinical team in charge of care for the patient is in constant communication with CDC and with other leading medical centers such as Emory University Hospital and the Nebraska Medical Center.  A large CDC team has been actively involved in advising the Bellevue staff and we are very appreciative of the additional guidance. 

 

In addition to the required supportive therapy, we initiated antiviral therapy within hours of admission. We also administered plasma therapy yesterday. These therapies have been used at Emory and Nebraska.

 

The patient's fiancée will return to her home this evening under quarantine. 

*  *  *

The full timeline of Dr. Spencer's time since arrival, in NYC...

On 10/14, the patient departed Guinea on a flight to Brussels. Patient reported no symptoms.

On 10/17, the patient boarded a flight to the U.S. on Brussels Airlines Flight SN0501. Patient reported no symptoms.

On 10/17, the patient arrived at JFK. The patient was screened at JFK and had no symptoms upon arrival.

On 10/21 at 7 AM, the patient reported fatigue and exhaustion. No fever, vomiting, diarrhea. Fatigue is a symptom of Ebola, but it is very unlikely that people he came into close contact with on 10/21 are at risk. Out of an abundance of caution, we are  actively monitoring the health of these close contacts.

On 10/21, around 3:00 PM, the patient visited The Meatball Shop. The Meatball Shop is located at 64 Greenwich Avenue. Spent 40 minutes at The Meatball Shop.

On 10/21, around 4:30 PM, the patient visited the High Line. Walked on High Line and stopped at the Blue Bottle Coffee stand (10th Ave & W 16th St)

On 10/21, around 5:30 PM, the patient got off the High Line at 34th Street and took the 1 train to the 145th Street station.

On 10/22, around 1:00 PM, the patient went running along Riverside Drive and Westside Highway

On 10/22, around 2:00 PM, the patient went to pick up Community Supported Agriculture (CSA) farm share at 143rd St and Amsterdam Avenue (Corbin Hill Farm) Patient picked up box and brought back to apartment

On 10/22, around 5:30 PM, the patient left for The Gutter bowling alley in Williamsburg, Brooklyn with two friends. For his arrival at Gutter, the patient took the A train at 145th Street and transferred at 14th Street and took the L train to Bedford Avenue.

On 10/22, around 8:30 PM, the patient left The Gutter. For his return trip, the patient used Uber as his means of transportation.

On 10/23, around 10:15AM, the patient first reported a fever. At this point, the patient called Medecins Sans Frontieres and the New York City Health Department. He was immediately taken to Bellevue by FDNY EMS. The patient was tested for Ebola at the Health Department’s Public Health Lab. Test results are presumptive positive for Ebola. A confirmatory test will be conducted by the CDC; results will be available within the  next 24 hours.