Jump to content

Heme Doc

Full Members
  • Posts

    173
  • Joined

  • Last visited

Everything posted by Heme Doc

  1. https://www.nytimes.com/2021/04/13/us/politics/johnson-johnson-vaccine-blood-clots-fda-cdc.html#click=https://t.co/NkjtHukwHQ Oh. Fuck. This is colossal stupid and will get people killed. 6 cases in 7 million people
  2. My first night on call as an intern. Third day on the job as a new doc. Was given checkout on a patient that was on inpatient hospice and may pass that night. We would have to go and pronounce anybody that died. So I get called from the nurse that this patient had died as expected, and I go to the room to pronounce him. You’re taught before starting internship to check for pulse, listen for respiration’s, listen for heart sounds, and note the time of death. I walk in the room and a bunch of family is there, very sad/quiet with occasional sniffles. So I introduce myself and say I’m sorry and do the whole song and dance to make sure he’s dead. And all I really know at that point is from the movies and TV where the doc announces the time of death. So I announce “Time of death: 11:42”. And the family loses their shit and starts screaming and wailing. And I just kind of slink out of the room. My resident laughed his ass off at me for not just documenting the time of death in the chart.
  3. https://www.nejm.org/doi/full/10.1056/NEJMoa2104840?query=featured_home https://www.nejm.org/doi/full/10.1056/NEJMoa2104882?query=featured_home Ol HemeDoc is pretty happy that it seems the AZ vaccine (articles above) won’t be getting approved here in the US. I don’t want to deal with clots and low platelets any more than I already do
  4. Did cards discuss utility of cardiac MRI to help diagnose you?
  5. Thanks for the reply. I think it’s highly likely B117 spreads more readily among kids (the same as adults) and I suspect we will get more data on this soon. Hopefully the FDA will expand the Pfizer authorization to younger kids (ages 11-15) soon.
  6. Time for a rant about shitty vaccine messaging...last week edition. Last week the CDC director made “controversial” comments that vaccinated people don’t carry/transmit the virus. Then the CDC walked it back the next day and you got headlines from major media outlets like the NYT saying “Can vaccinated people carry the virus? We don’t know, scientists say” Imagine if the NYT did the same article with the headline “Can masked people spread the virus? We don’t know, scientists say” It would be anti-mask fodder! Why is this same type of bad messaging allowed for vaccines? Especially when vaccines are undoubtedly a metric fuck ton better than masks when it comes to ending this pandemic and protecting individuals and the population in general. When it comes to masks (which I wear without issue), the evidence is completely oversold for the sake of increased compliance (which I’m ok with), but the vaccine data is undersold without any thought to how this might affect uptake! It must be communicated clearly. Vaccines kick ass and >>>>>>>>>masks (and other NPIs). And vaccines do (though not quite 100%) stop transmission. And once everyone has a chance to get vaccinated, mandatory masking can fuck right off (people can still mask if they choose)
  7. I’m genuinely interested in seeing data that suggests B117 variant causes more severe disease in kids (compared to ancestral strain) and spreads more easily in kids (compared to adults). We know that B117 transmits more easily than the ancestral strain and probably causes more severe disease, but I haven’t seen anything specific to B117 in kids I think we should vaccinate everyone, even those not at risk of severe disease so we can really halt spread of this thing. Current US vaccines work very well against B117, which is good since it’s quickly becoming the dominant strain.
  8. https://www.cdc.gov/mmwr/volumes/70/wr/mm7013e3.htm?s_cid=mm7013e3_w Vaccines prevent infections? Not just symptomatic infections?!?! Who would’ve thought?
  9. Vaccines working really fucking well in healthcare workers at UT Southwestern in Dallas
  10. https://www.nejm.org/doi/full/10.1056/NEJMc2102153?query=featured_home
  11. Agree with this. Vaccines stop transmission, although not 100%. So until more folks vaccinated we need to continue to be cautious.
  12. 1. Yes. They absolutely do 2. It is known. Just not reported on as much. Here’s some recent data from Israel https://www.nejm.org/doi/full/10.1056/NEJMoa2101765 and Mayo Clinic https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciab229/6167855 They do prevent transmission. Nothing is fucked here, dude.
  13. It’s fucking maddening and infuriating. Lots of data now showing that this vaccine is really good at preventing infection...period. Not just symptomatic infection. And if you can’t get it, how the fuck are you going to spread it? Then why do you need to wear a fucking mask? I’ll wear a mask if you want me to. But right for me, a vaccinated person, the mask probably does as much to protect me as wearing a monacle. At least the CDC said vaccinated people don’t need to wear masks or distance when around other vaccinated individuals My office mandates masks in everyone entering the building (obviously). Like 80% of my patients in clinic have already been fully vaccinated. Both me and the patient still wear masks in the room. I leave the patient room and then go back to the nurses area to shoot the shit with my partners and nurses (all vaccinated). We all take our masks off.
  14. I’m a little worried people won’t believe my card that says my first dose was Aug 20 and my 2nd was Sep 11
  15. My hospital had 186 COVID positive patients in house Jan 16. That was our peak since the start of the pandemic... On Friday March 5th we had 41.
  16. It’s a good idea in principle. And labs now carry it. But the question I don’t know the answer to is: What level of antibody is associated with protection from infection? So you could get the test and find that you’ve got antibodies which would make you feel really safe, especially if at high levels. I haven’t taken the test personally but definitely thought about it. Would be interested to know my titers now 6 months after my 2nd Pfizer shot
  17. I’ll bite... This study is very reassuring and well done. Even if antibodies to COVID wane over time or the virus mutates where your antibodies are less effective, you’ve still got your T cells primed to kick ass and they don’t care as much about how the virus has changed. Think of your antibodies like the castle gate. They protect you from the virus getting in but the virus may figure out a way around that. But your T cells are like the army waiting behind the gates in case it gets through and still whip its ass.
  18. Totally agree. The vaccines are awesome and there’s no benefit to keep acting like they’re not. Paper from NEJM today shows Pfizer vaccine in Israel reduced asymptomatic infections by 90% one week and beyond 2nd dose. Symptomatic infections at that point were basically nil. https://www.nejm.org/doi/full/10.1056/NEJMoa2101765?query=featured_home Fuck the masks forever crowd. Vaccines are coming for you.
  19. Thanks for posting. I also want to point out that this showed 86% effectiveness of the Pfizer vaccine to prevent ALL infection (not just symptomatic) one week after the 2nd dose. These folks were all getting every 2 week PCR swabs and every month antibody tests. So that means AT LEAST 86% reduction in transmission (if you can’t get it, you can’t transmit it), which is fantastic.
×
×
  • Create New...