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COVID-19 vaccine discussion


Texas Jeff

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Strange how some want to follow the advice of an Indian hospital that used ivermectin to prevent covid / hasten the recovery with its workers. But when the Us govt says the same thing about the vaccine, it’s all hell no I’m not taking the advice of the US govt. 

from the study someone just posted, perhaps there is reasons to continue studying it.  The Indian study gave ivermectin to a few thousand healthcare workers ivermectin and a month later, their covid case count was down. Did anything else change during this time? PPE usage? Better processes to manage covid positive patients?

I don’t claim to know anything about medical research practices. However even I know you can’t just give people a drug, allow many other factors to change, and then declare the drug is the cause for the results.

one last point, the study results point to a period in which active cases dropped in their study population. Great. However cases also dropped across  India as a whole that month.  Related?

 

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4 hours ago, Victor Lazlo said:

I agree with you that we need better data to draw firm conclusions.

We don’t know their baseline that they used to determine that Delta is 46% more likely to reinfect.

Those articles that you posted clearly state that “Reinfections remain a rarity though, accounting for only 1.2% of the 83,197 cases analyzed.”

If, as cited in the articles that you posted, reinfection rates are 1.2%, then they may have started with a baseline of .77% with Alpha to arrive at the 1.2% after a 46% increase.

But, as you say, take it with a grain of salt. I agree with you that we need better data, and more time to analyze the data to understand what is going on.

The articles that you posted also state that, from June 21 to July 19, 30% of COVID patients admitted to the hospital in England had been fully vaccinated.

That doesn’t seem good. Hopefully our vaccines are better than their Oxford vaccine  

 

 

My offer still stands. Show me proof of your first vaccine dose dated today or within the last week and I will Venmo you $20. This goes for anyone, up to a max of $200. Wish I could have a higher limit, but, well, you know.

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PSA. Astros are holding a vaccine event Tuesday night before their game. 2 free tickets (for any game) for each vaccine shot. I believe it’s the Pfizer vaccine.

(Ducks down with expecting hatred replies of the astros)

Edit: I would expect there to be a line so if your time is worth more than 2 tickets, just go to a cvs.

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11 hours ago, EE2B said:

This was posted by an ER doc from a local hospital:

I have been mostly silent on the COVID surge but I feel it’s a duty and responsibility for healthcare professionals to report what we are seeing and confront some of the unbelievable and irresponsible mis-information out there.

This is long and reflects many opinions and observations. Those opinions and observations are mine and mine alone and do not reflect upon any healthcare institution or governmental agency. I admit that I did not consider Facebook memes or posts by non-healthcare workers, nor conspiracy websites in formulating my opinions. My opinions are based on possessing an actual medical degree and board certification as well as over 30 years of medical experience (28 of which have been in Emergency Medicine).

Hospitals in Texas, Louisiana, and Arkansas (as well as many other areas) are overwhelmed with COVID cases right now. Of the COVID, about 75% is delta variant.

Delta is much more contagious than the previous strains were. Sadly, the majority of the really sick people I have been seeing are presenting 7 to 10 days AFTER diagnosis and after failing “treatments” that don’t work such as Rocephin, Zithromax, Levaquin, Augmentin, and the ever-present and thoroughly debunked hydroxychloroquine emoji849.pngemoji849.png all prescribed by folks who apparently do not understand what a virus is. (The jury is still out on ivermectin…. I personally do not believe it works, but there is some junk science saying it does. You can judge for yourself). In my opinion, if your PCP is treating you with antibiotics or hydroxychloroquine for the COVID virus, you need a new PCP. A concomitant bacterial pneumonia with COVID (which is a viral pneumonia) in the outpatient setting is exceedingly rare and the risk vs benefit ratio on hydroxychloroquine isn’t a debate anymore.

The relevance of the time course I am frequently seeing from diagnosis to severe illness is important because by that time, people are out of the window for monoclonal antibody therapy which was in my opinion (including my own personal experience) beneficial for non-delta COVID. This means there isn’t a lot we have to offer unless you’re critically ill.

There seems to be a misconception about what this COVID surge and hospital capacity means to the average person. First of all, when the COVID units and the hospital beds are full, admitted patients back up into the ER waiting on beds to open up. This occupies ER beds and ER nurses and leaves sick patients in the lobby with no where to put them and few staff members to take care of them. Only the most critical people can be seen. This doesn’t mean urgent cases, this means critical. Sadly, this means that your kid’s broken arm, won’t be seen quickly and you will have to wait. We don’t like it either, but it’s reality right now. Second, when tertiary referral centers are full (which they are), they refuse transfers for sub-specialty care (which they are). So, if you (or your family) develops a condition (including serious trauma) that a community hospital can’t manage, you may be held at a hospital that can’t take adequate care of you because there is nowhere to send you (yes, this is happening).

During the previous surge of COVID, several things were different than they are now:

1) VOLUME: Patients stayed home and didn’t come to hospitals. So hospitals saw far fewer patients than normal and only the sickest patients came. Volumes are now back close to pre-COVID levels.

2) STAFFING: Before, both state and federal agencies paid for and sent staff (nurses, techs, respiratory therapists) to hard hit areas to help. Healthcare workers were offered very good money to travel and those who could left in droves. These assistances are largely no longer available and hospitals and ERs are having tremendous staffing trouble.

3) CURVE: Lots of misconceptions surrounded the “flattening the curve” terminology. It was not an attempt to eradicate COVID. It was an attempt to spread out the infections over time so that the health care system was not overwhelmed. With the re-opening of our society and few people masking, we are seeing a surge like we did not see before. We’re seeing the spike that was feared and somewhat mitigated before.

4) FATIGUE: As health care workers, we are tired. We are short-staffed, overwhelmed, over-worked, and we are tired of getting yelled at and complained about when we are barely holding things together. This is leading to attrition of personnel which only compounds the problem. If you’re in the ER or the hospital, you may not get your drink or your warm blanket in a timely manner while we are off tending to critical patients. If you’re there for non-urgent issues, attention, or hypochondria, we’re probably not gonna be very accommodating. Recognize that the people there working are doing the best they can during some very challenging times. If you’re our priority at any given moment, you’ve got problems!

As for the vaccine:

1) This was developed and encouraged under the Trump administration and continues to be encouraged by the Biden administration. It is NOT a political issue.

2) The vaccine is NOT “experimental”. The technology used to create the vaccine has existed for years and was developed in order to allow rapid creation of vaccines for just such a scenario. The vaccine was tested on thousands and determined to be safe before release. True, it was rushed to market due to the circumstances and true, we aren’t certain there will be no long term effects but it is doubtful there will be any.

3) The vaccine DOES provide protection against delta variant. I have personally not seen a single COVID patient who has been immunized and I have seen and admitted a lot of COVID patients recently. When last I checked, our hospital did not have a single admitted COVID patient who was immunized. I do know of people who have gotten sick and provider stories of vaccinated patients with COVID, but the overwhelming data shows that these folks have a mild illness. Of the COVID deaths during this surge, a tiny fraction (less than 1%) have been fully immunized.

4) People getting COVID even though vaccinated isn’t unexpected or unusual. NO vaccine is 100% effective. This is NOT a logical reason not to be vaccinated.

5) There are NOT large numbers of people having severe reactions to the vaccine. Don’t be misled by isolated cases and propaganda. As with any medication or vaccine, there will be side effects in a small number of people and even death in a tiny fraction. In medicine, we always consider risk versus benefit for any therapy. To make an analogy here, every year there are people injured and killed BECAUSE they were wearing a seat belt. But a vast majority more are saved from serious injury by the belt. Using the small number of people harmed by the belt as justification not to wear it is illogical.

6) There is so much misinformation out there about the vaccine that it is hard for non-medical people to separate the facts from the fiction. Consider that the overwhelming majority of healthcare experts support the vaccine and we have NO agenda to promote it. We are not paid to promote it. We are making our recommendations based on understanding the effects of a pandemic and understanding the science behind the vaccine, as well as our own observations. There is some extremely crazy (and frankly downright stupid) stuff out there quoted by lay people with a Facebook medical degree. Before you make a decision about the vaccine, consider all of the information you can find and consider the credentials of those who are making the recommendations. Please do your research with an open mind and don’t look for and consider only sources that agree with your a priori opinion.

I have long tired of the statements that masks don’t work promoted by folks who don’t want to wear one. Of course they work. They are also not harmful to your health. (If they were, surgeons and OR nurses would have been dying off for years.) I would point out that this last winter because of masks, social distancing, & sanitizing, we saw very very few cases of flu and RSV (like COVID, these are also viruses). As soon as masks started coming off, we began to see large numbers of cases of RSV in children. In 30 plus years of medical practice, I have NEVER seen a summer outbreak of RSV. In addition, I would point out that shortly after mask mandates ended, the COVID surge began. Clearly, they did work. Like anything else, masks weren’t 100% effective but that doesn’t mean they were ineffective.

To be clear, I am not advocating closing our society again, mask mandates, or mandatory immunization. But I think if more people believed those of us on the front lines and paid attention to what is happening right now and listened to reputable authorities on vaccines and masks, maybe we could mitigate the current situation without those mandates returning.

Those of us in healthcare are not lying to you or trying to misconceive you. We have NO incentive to do that. This is not a conspiracy or attempt to control your behavior or inject you with trackers or alter your DNA. That is completely illogical and frankly crazy. The virus isn’t and never was political. The virus is some RNA floating around out there surrounded by spike proteins that are neither red or blue.

Those of us on the front lines of healthcare have no agenda except to keep you and your family safe and healthy. Please take heed and if nothing else, please stop calling us liars, conspirists, and reactionaries. To my observations, the current hysteria is coming from the anti-COVID, anti-vaccination crowd. We are merely reporting what we’re seeing and what we have concluded based on knowledge, training, and expertise.

PS: calling an ambulance for non-emergent issues will NOT get you seen faster. If you are less ill than those waiting in the lobby, you will be sent to the lobby to get in line.

If you have managed to make it this far through my musings, thank you for your consideration.

Like a trumpkin can read all that. 

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7 minutes ago, GTX Horn said:

As much as anti-vaxxers crow about not knowing the long-term effects of these vaccines, you’d think they also be concerned about the long-term effects of continually ingesting cattle dewormer

No, it’s fine so long as you follow the dosage chart some random person on the internet prepared. They guaranteed it was safe!

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11 hours ago, EE2B said:

This was posted by an ER doc from a local hospital:

I have been mostly silent on the COVID surge but I feel it’s a duty and responsibility for healthcare professionals to report what we are seeing and confront some of the unbelievable and irresponsible mis-information out there.

This is long and reflects many opinions and observations. Those opinions and observations are mine and mine alone and do not reflect upon any healthcare institution or governmental agency. I admit that I did not consider Facebook memes or posts by non-healthcare workers, nor conspiracy websites in formulating my opinions. My opinions are based on possessing an actual medical degree and board certification as well as over 30 years of medical experience (28 of which have been in Emergency Medicine).

Hospitals in Texas, Louisiana, and Arkansas (as well as many other areas) are overwhelmed with COVID cases right now. Of the COVID, about 75% is delta variant.

Delta is much more contagious than the previous strains were. Sadly, the majority of the really sick people I have been seeing are presenting 7 to 10 days AFTER diagnosis and after failing “treatments” that don’t work such as Rocephin, Zithromax, Levaquin, Augmentin, and the ever-present and thoroughly debunked hydroxychloroquine emoji849.pngemoji849.png all prescribed by folks who apparently do not understand what a virus is. (The jury is still out on ivermectin…. I personally do not believe it works, but there is some junk science saying it does. You can judge for yourself). In my opinion, if your PCP is treating you with antibiotics or hydroxychloroquine for the COVID virus, you need a new PCP. A concomitant bacterial pneumonia with COVID (which is a viral pneumonia) in the outpatient setting is exceedingly rare and the risk vs benefit ratio on hydroxychloroquine isn’t a debate anymore.

The relevance of the time course I am frequently seeing from diagnosis to severe illness is important because by that time, people are out of the window for monoclonal antibody therapy which was in my opinion (including my own personal experience) beneficial for non-delta COVID. This means there isn’t a lot we have to offer unless you’re critically ill.

There seems to be a misconception about what this COVID surge and hospital capacity means to the average person. First of all, when the COVID units and the hospital beds are full, admitted patients back up into the ER waiting on beds to open up. This occupies ER beds and ER nurses and leaves sick patients in the lobby with no where to put them and few staff members to take care of them. Only the most critical people can be seen. This doesn’t mean urgent cases, this means critical. Sadly, this means that your kid’s broken arm, won’t be seen quickly and you will have to wait. We don’t like it either, but it’s reality right now. Second, when tertiary referral centers are full (which they are), they refuse transfers for sub-specialty care (which they are). So, if you (or your family) develops a condition (including serious trauma) that a community hospital can’t manage, you may be held at a hospital that can’t take adequate care of you because there is nowhere to send you (yes, this is happening).

During the previous surge of COVID, several things were different than they are now:

1) VOLUME: Patients stayed home and didn’t come to hospitals. So hospitals saw far fewer patients than normal and only the sickest patients came. Volumes are now back close to pre-COVID levels.

2) STAFFING: Before, both state and federal agencies paid for and sent staff (nurses, techs, respiratory therapists) to hard hit areas to help. Healthcare workers were offered very good money to travel and those who could left in droves. These assistances are largely no longer available and hospitals and ERs are having tremendous staffing trouble.

3) CURVE: Lots of misconceptions surrounded the “flattening the curve” terminology. It was not an attempt to eradicate COVID. It was an attempt to spread out the infections over time so that the health care system was not overwhelmed. With the re-opening of our society and few people masking, we are seeing a surge like we did not see before. We’re seeing the spike that was feared and somewhat mitigated before.

4) FATIGUE: As health care workers, we are tired. We are short-staffed, overwhelmed, over-worked, and we are tired of getting yelled at and complained about when we are barely holding things together. This is leading to attrition of personnel which only compounds the problem. If you’re in the ER or the hospital, you may not get your drink or your warm blanket in a timely manner while we are off tending to critical patients. If you’re there for non-urgent issues, attention, or hypochondria, we’re probably not gonna be very accommodating. Recognize that the people there working are doing the best they can during some very challenging times. If you’re our priority at any given moment, you’ve got problems!

As for the vaccine:

1) This was developed and encouraged under the Trump administration and continues to be encouraged by the Biden administration. It is NOT a political issue.

2) The vaccine is NOT “experimental”. The technology used to create the vaccine has existed for years and was developed in order to allow rapid creation of vaccines for just such a scenario. The vaccine was tested on thousands and determined to be safe before release. True, it was rushed to market due to the circumstances and true, we aren’t certain there will be no long term effects but it is doubtful there will be any.

3) The vaccine DOES provide protection against delta variant. I have personally not seen a single COVID patient who has been immunized and I have seen and admitted a lot of COVID patients recently. When last I checked, our hospital did not have a single admitted COVID patient who was immunized. I do know of people who have gotten sick and provider stories of vaccinated patients with COVID, but the overwhelming data shows that these folks have a mild illness. Of the COVID deaths during this surge, a tiny fraction (less than 1%) have been fully immunized.

4) People getting COVID even though vaccinated isn’t unexpected or unusual. NO vaccine is 100% effective. This is NOT a logical reason not to be vaccinated.

5) There are NOT large numbers of people having severe reactions to the vaccine. Don’t be misled by isolated cases and propaganda. As with any medication or vaccine, there will be side effects in a small number of people and even death in a tiny fraction. In medicine, we always consider risk versus benefit for any therapy. To make an analogy here, every year there are people injured and killed BECAUSE they were wearing a seat belt. But a vast majority more are saved from serious injury by the belt. Using the small number of people harmed by the belt as justification not to wear it is illogical.

6) There is so much misinformation out there about the vaccine that it is hard for non-medical people to separate the facts from the fiction. Consider that the overwhelming majority of healthcare experts support the vaccine and we have NO agenda to promote it. We are not paid to promote it. We are making our recommendations based on understanding the effects of a pandemic and understanding the science behind the vaccine, as well as our own observations. There is some extremely crazy (and frankly downright stupid) stuff out there quoted by lay people with a Facebook medical degree. Before you make a decision about the vaccine, consider all of the information you can find and consider the credentials of those who are making the recommendations. Please do your research with an open mind and don’t look for and consider only sources that agree with your a priori opinion.

I have long tired of the statements that masks don’t work promoted by folks who don’t want to wear one. Of course they work. They are also not harmful to your health. (If they were, surgeons and OR nurses would have been dying off for years.) I would point out that this last winter because of masks, social distancing, & sanitizing, we saw very very few cases of flu and RSV (like COVID, these are also viruses). As soon as masks started coming off, we began to see large numbers of cases of RSV in children. In 30 plus years of medical practice, I have NEVER seen a summer outbreak of RSV. In addition, I would point out that shortly after mask mandates ended, the COVID surge began. Clearly, they did work. Like anything else, masks weren’t 100% effective but that doesn’t mean they were ineffective.

To be clear, I am not advocating closing our society again, mask mandates, or mandatory immunization. But I think if more people believed those of us on the front lines and paid attention to what is happening right now and listened to reputable authorities on vaccines and masks, maybe we could mitigate the current situation without those mandates returning.

Those of us in healthcare are not lying to you or trying to misconceive you. We have NO incentive to do that. This is not a conspiracy or attempt to control your behavior or inject you with trackers or alter your DNA. That is completely illogical and frankly crazy. The virus isn’t and never was political. The virus is some RNA floating around out there surrounded by spike proteins that are neither red or blue.

Those of us on the front lines of healthcare have no agenda except to keep you and your family safe and healthy. Please take heed and if nothing else, please stop calling us liars, conspirists, and reactionaries. To my observations, the current hysteria is coming from the anti-COVID, anti-vaccination crowd. We are merely reporting what we’re seeing and what we have concluded based on knowledge, training, and expertise.

PS: calling an ambulance for non-emergent issues will NOT get you seen faster. If you are less ill than those waiting in the lobby, you will be sent to the lobby to get in line.

If you have managed to make it this far through my musings, thank you for your consideration.

Well that's like your opinion, man.

Seriously can you provide any source links to this? I think the info is spot on, but having a link to the doc's post is invaluable.

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56 minutes ago, Nice Guy Eddie said:

Strange how some want to follow the advice of an Indian hospital that used ivermectin to prevent covid / hasten the recovery with its workers. But when the Us govt says the same thing about the vaccine, it’s all hell no I’m not taking the advice of the US govt

Girl Why Dont We Have Both GIF

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As much as anti-vaxxers crow about not knowing the long-term effects of these vaccines, you’d think they also be concerned about the long-term effects of continually ingesting cattle dewormer

Your premise is based on the assumption that these people are not shit for brains. They are.
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24 minutes ago, GTX Horn said:

As much as anti-vaxxers crow about not knowing the long-term effects of these vaccines, you’d think they also be concerned about the long-term effects of continually ingesting cattle dewormer

Ivermectin has been around for a long time and literally billions of doses have been given to humans over the years.

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2 minutes ago, XYZ said:

Ivermectin has been around for a long time and literally billions of doses have been given to humans over the years.

The long term impact on combining Ivermectin and COVID are unknown. Perhaps it makes the long hauler symptoms worse...

See, it's easy to play the game that no one should take a vaccine or medicine until there are 5+ years study on the exact impact.

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11 hours ago, Zeus said:

Think for yourself.

A couple years ago, I was walking downtown and saw this dude about 10 yards ahead of me, staring down at his phone while stepping into the path of an oncoming bus. Guy had no clue what was about to hit him and I couldn’t reach him in time, so of course I shouted at the top of my lungs: “THINK FOR YOURSELF!”

 

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9 minutes ago, Biff Tannen said:

Update: this thing is lingering with me.  I feel about 80% today, was about 90% yesterday.  Going to try and sleep today and really get this thing kicked.  

Stop jerking off.

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1 hour ago, 4th and 5 said:

Update: I got Pfizer #3 on Wednesday. #2 was mid March.

No issues other than soreness at the injection site for a few days.

Is there any particular reason that you decided to grab a third shot 4.5 months after the second? Immune compromised or something else?

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6 minutes ago, Nice Guy Eddie said:

Why let the rich vaccine deniers off the hook? Why not make it a 10% of your salary. Let's see the CEO refuse the vaccine when it costs him $250K.

 

why not just make it equal for all people 10k surcharge if you are doing something to yourself that costs others to pay a higher insured amount?  why should it be a percentage or your income?  if you are poor and fat or rich and fat you are costing others the same. 

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6 minutes ago, dcar00 said:

why not just make it equal for all people 10k surcharge if you are doing something to yourself that costs others to pay a higher insured amount?  why should it be a percentage or your income?  if you are poor and fat or rich and fat you are costing others the same. 

I would look at the 10K as a incentive to get the vaccine. There are people that would shrug their shoulders at 10K. They wouldn't shrug their shoulders at 10%.

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22 minutes ago, Nice Guy Eddie said:

I would look at the 10K as a incentive to get the vaccine. There are people that would shrug their shoulders at 10K. They wouldn't shrug their shoulders at 10%.

sure.  sounds good include a 10K surcharge if poor fat people, poor alcoholic/drug abusers, rich smokers, rich drug abusers get hospitalized

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Hey, all of you "my freedoms, my choice is my business and doesn't hurt anyone else" types.....maybe you ought to read this, then stew in your wrongness that isn't just selfish, it's cruel.

This is from a dear friend.  This is how she got to experience her mother's death:

Quote

One week ago my Mother woke up saying she could not breathe. Given her COPD and Stage 4 Metastatic Breast Cancer, we called her oncologist who told us to take her to the ER. We took her knowing only one of us could go in with her but once she was in a room we could trade off. She entered the ER at 10am Monday morning. After some tests, we were told she had had a massive heart attack within the past hours, plus she had pneumonia. We asked about getting her into a room, none available. We asked about transferring to another hospital, no rooms available due to the surge in non vaccinated COVID patients. This is what we heard the nurses discussing. Mother ended up spending 36 hours in an ER bay during which time she suffered another massive heart attack. This is not how someone's final hours should be, relagated to a curtained off area of a large room. No privacy. We had to ask the doctor to let us just take her home.

A lot of people have asked what they can do for us at this time. GET THE VACCINE so another family does not have to sit with their dying relative in an ER bay. The virus does not affect only you should you catch it, it reaches places you don't even think of.

So, how about we make this deal -- if you continue to refuse to get vaccinated, then you have to PROMISE -- and KEEP your promise -- that if you come down with COVID, you 1) will not break quarantine in your home so as to infect others, and 2) will not take up ANY medical resources to treat your preventable serious illness.   Can we make that deal?

Who are we kidding.  The anti-vaxxers will eagerly make those promises, and then enthusiastically break them the instant shit goes south.  They are all for individual freedoms, and socialized consequences.  

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6 minutes ago, midtown said:

Actually most data that I've seen says delta is about to fall off a cliff.  Predicted peak cases on Aug 11

Right when school starts. I gotta feeling we may see decrease in adult numbers but a spike in children. Maybe hospitalizations will go down???? And we are comparing apples to oranges with other countries. Don’t underestimate our obese unhealthy and undisciplined population’s ability to make Covid appear worse than other places.

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7 minutes ago, Brisketexan said:

Hey, all of you "my freedoms, my choice is my business and doesn't hurt anyone else" types.....maybe you ought to read this, then stew in your wrongness that isn't just selfish, it's cruel.

This is from a dear friend.  This is how she got to experience her mother's death:

So, how about we make this deal -- if you continue to refuse to get vaccinated, then you have to PROMISE -- and KEEP your promise -- that if you come down with COVID, you 1) will not break quarantine in your home so as to infect others, and 2) will not take up ANY medical resources to treat your preventable serious illness.   Can we make that deal?

Who are we kidding.  The anti-vaxxers will eagerly make those promises, and then enthusiastically break them the instant shit goes south.  They are all for individual freedoms, and socialized consequences.  

If anti-vaxxers were denied admittance to the hospital when they catch it, they’d probably go door to door and intentionally infect as many of their neighbors as they could.  

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