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Newdoc

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Posts posted by Newdoc

  1. 2 minutes ago, Ghost of LL said:

    And I just don't know how I feel about that.

    Well maybe dad shouldn’t have tried to fry up some Jews (or Zionists). I realize it sucks for these kids but this shit stain of a human should have thought about that before he tried to off dozens of innocent people. 

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    • Like 1
  2. 2 hours ago, troph said:

    fair enough, but 5-6% develop long covid which is not a nuisance it's pure fucking misery and some never recover. we can treat it as a nuisance

    Agree, it’s misery, but you’re working with old data. The number of immune naive people that are out there is almost nothing. The incidence of long Covid with prior immunity is greatly reduced. Even more so with omicron. And that’s where I go back to having a personal discussion with your physician on your risks for Covid complications and subsequent booster immunizations.

  3. 18 hours ago, Brisketexan said:


    Question: do you think that this study and recommendation will be primarily used to a) implement sound and balanced public health recommendations and policy, or b) as ammunition in the “see! Vaccines are bad, even the govt and docs admit it!” cause?
    You know the answer.

    The language certainly does not take the personal recommendations and discussion away from physicians and their patients for individualized Covid vaccine decisions.
    It is pretty clear, five years and multiple strains later that Covid has become a nuisance illness for the vast majority of Americans. If you really want to make a difference in vaccinations that are currently have  poor uptake then the focus should be on adult RSV, pneumonia, and flu vaccination rates which have suffered under public hesitancy of vaccines since Covid. This is  in addition to childhood immunizations like pertussis and measles. And while the current and very public and tragic measles outbreak is highly concerning, many more children died this year from RSV and influenza.

    All the other adult and pediatric illnesses I mentioned currently have a much higher morbidity and mortality than Covid.

    Public health should not bow to the political and media hot potato.

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  4. 4 hours ago, Anastasis said:

    On topic of the thread. More at the link that gets into the study design recommendations and other considerations. 

     

    https://www.nejm.org/doi/full/10.1056/NEJMsb2506929#f1

    An Evidence-Based Approach to Covid-19 Vaccination

    Authors: Vinay Prasad, M.D., M.P.H., and Martin A. Makary, M.D., M.P.H.Author Info & Affiliations

    Published May 20, 2025

    Over the past 5 years, the United States has moved toward an annual Covid-19 booster program. Each fall, Covid-19 booster shots are developed, alongside seasonal influenza vaccines, and are recommended for every American. As compared with vaccination policies in all European nations, the U.S. policy has been the most aggressive (see Figure 1).1 While all other high-income nations confine vaccine recommendations to older adults (typically those older than 65 years of age), or those at high risk for severe Covid-19, the United States has adopted a one-size-fits-all regulatory framework and has granted broad marketing authorization to all Americans over the age of 6 months.1 The U.S. policy has sometimes been justified by arguing that the American people are not sophisticated enough to understand age- and risk-based recommendations.2 We reject this view.

    Although the rapid development of multiple Covid-19 vaccines in 2020 represents a major scientific, medical, and regulatory accomplishment,3 the benefit of repeat dosing — particularly among low-risk persons who may have previously received multiple doses of Covid-19 vaccines, had multiple Covid-19 infections, or both — is uncertain. The American people, along with many health care providers, remain unconvinced.

    Over the past two seasons, uptake of the annual Covid-19 booster has been poor, according to the Centers for Disease Control and Prevention (CDC). Less than 25% of Americans received boosters each year, ranging from less than 10% of children younger than 12 years of age in the 2024–2025 season to 50% of adults over 75 years old.4 Even health care workers remain hesitant, with less than one third participating in the 2023–2024 fall booster program.5 There may even be a ripple effect: public trust in vaccination in general has declined,6 resulting in a reluctance to vaccinate that is affecting even vital immunization programs such as that for measles–mumps–rubella (MMR) vaccination, which has been clearly established as safe and highly effective. In recent years, reduced MMR vaccination rates have been a growing concern and have contributed to serious illness and deaths from measles. Against this context, the Food and Drug Administration (FDA) seeks to provide guidance and foster evidence generation.

    Moving forward, the FDA will adopt the following Covid-19 vaccination regulatory framework: On the basis of immunogenicity — proof that a vaccine can generate antibody titers in people — the FDA anticipates that it will be able to make favorable benefit–risk findings for adults over the age of 65 years and for all persons above the age of 6 months with one or more risk factors that put them at high risk for severe Covid-19 outcomes, as described by the CDC (Figure 2). For all healthy persons — those with no risk factors for severe Covid-19 — between the ages of 6 months and 64 years, the FDA anticipates the need for randomized, controlled trial data evaluating clinical outcomes before Biologics License Applications can be granted. Insofar as possible, when approving a Covid-19 vaccine for high-risk groups, the FDA will encourage manufacturers to conduct randomized, controlled trials in the population of healthy adults as part of their postmarketing commitment.

     

    This makes sense given the current epidemiology and risk for severe Covid disease in select populations. Surprised the vaccine manufacturers didn’t have their grubby hands in the recommendations. BTW, I’m a huge proponent of vaccines but I’m also wary of big pharmas influence on health care policy.

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  5. 36 minutes ago, crash_davis said:

    This is America. 

    From the comments. 

    “Sheriff Allen also told NewsNation Friday that his department has been called to the home more than 50 times. He also said he’s frustrated that the state keeps returning the kids to their mom. Their father is incarcerated. He said he is looking to charge their father with Bennie’s Law for not having his gun properly stored”

    Explains a lot. Also mentions that the father was who taught them how to use the gun, which the officers said the kids pulled the trigger during this incident but it “malfunctioned”.

    Parents suck example #1,256,765. The dad should immediately have his testicles removed. Mom can have a hysterectomy as well.

    • Like 1
  6. On 4/27/2025 at 7:47 PM, Damor said:

    Love,

    pediatric radiologist

    Damn straight. Don’t know how the peds onc docs and nurses do it. They have extra crowns in heaven as far as I’m concerned. Them and middle school teachers.

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    • Like 2
  7. On 5/3/2025 at 12:06 PM, MissingInAction said:

    I've drank prune juice, taken laxatives. Still just a giant Hershey's kiss lodged in there.

    a3861452203_5.jpg

    If you’re impacted. Aka log jam in the rectum, then you may need to work from the bottom too. Glycerin suppositories with KY prior to insertion and consider milk and molasses enema. And Mag Citrate oral preps work pretty quickly.

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