Medical Discussion of Coronavirus

[fatlittlepig]

There are reports of hospitals wasting vaccine doses rather than running afoul of rules and being accused of administering to the “incorrect” group. What a joke.

[StarTrekDoc]

There are reports of hospitals wasting vaccine doses rather than running afoul of rules and being accused of administering to the “incorrect” group. What a joke.

Then those hospitals (at least out of california) didn't read the most recent official memo.

That said, Sharp system down here did the right thing even before the memo came out and administered expiring vaccine to first responders available on duty instead of waste and asked for forgiveness afterwards. Yes, the system didn't plan right on opening 80 vials incorrectly, but they made for it and did the right thing -- like what health professionals do most of the time when given the opportunity to do so, politics be [email protected]%!2.

[Lordosis]

Just got my 2nd dose. Will update with sx's if they show up. Definitely agree with nephron. I'm pretty low risk but when offered, I accepted. I don't understand the prioritized approach. Outside of nursing homes getting doses, just push to get the shot out. Front line workers will figure out a way to get it. But while they're at high risk of getting it, they're not at greatest risk of dying usually. Even in limited data, the first dose looks effective. Just get shots out there.

I am outpatient do being asked to help out our hospitalists because we are past capacity and they have a number out sick. This is not a good thing to rely on. We need to get healthcare workers protected so the system does not collapse.

Anyway getting my second shot now. I will keep you posted on any significant events.

[G]

I am almost always a states' rights kind of guy, but rolling out a brand new vaccine with squirrelly handling requirements to hundreds of millions of people all across the states and territories in a situation where healthcare workers are getting crushed is sort of the definition of the need for decisive, competent federal management.

That said, in my county, I don't know of anyone at least partially affiliated with healthcare who has not been vaccinated or is scheduled to get one. Were supposed to roll out today to anyone over age 75, but just read in the news that they need the governor to sign something.

FLP, unless you have concrete knowledge of hospitals wasting vaccine, I would suggest that you refrain from spreading "reports" of wasted vaccine. If you want to trade anecdotes, I can tell you that at my health system they had a surplus of thawed product (due to appointment no-shows) and instead they went to the hospital and started putting it into arms.

[G]

That's simply not going to work for the general public and recommending something like that will probably make people less apt to get it.

for sure, will be an interesting research study: slim chance of getting COVID or any side effects with only one dose, very good chance of feeling like crap and missing a day or so of work with a booster. pick one.

heck, *I* am not even super excited about it.

also curious to see if it gets worse with every vaccination (repeated boosters or changing the mRNA)

[Tim]

The Pfizer and Moderna second shots will have some availability issues.

https://www.google.com/amp/s/amp.usatoday.com/amp/3867521001

https://www.google.com/amp/s/www.washingtonpost.com/health/biden-plans-to-release-of-nearly-all-available-vaccine-doses-to-speed-inoculations/2021/01/08/93d58c72-51db-11eb-83e3-322644d82356_story.html%3foutputType=amp

Any “science” to support a single dose of a 2 shot vaccine? This is not a political comment. Availability for 1B and lower priorities and timing will have a big impact on herd immunity.

This is where true science advice is needed. 50% vs 90% drastically alters the math. Balance between 100 day political goals and long term goal needs to be guided by science. No opinion, just an inquiry about the course from a public health standpoint.

[billy]

18 hours post second shot- the chills and fatigue started. great my body is working, but def more than the first shot symptoms. if I had to work today, not sure I'd be very effective, esp with the sore intubating arm. I expect to be better by tomorrow though

[fatlittlepig]

I am almost always a states' rights kind of guy, but rolling out a brand new vaccine with squirrelly handling requirements to hundreds of millions of people all across the states and territories in a situation where healthcare workers are getting crushed is sort of the definition of the need for decisive, competent federal management.

That said, in my county, I don't know of anyone at least partially affiliated with healthcare who has not been vaccinated or is scheduled to get one. Were supposed to roll out today to anyone over age 75, but just read in the news that they need the governor to sign something.

FLP, unless you have concrete knowledge of hospitals wasting vaccine, I would suggest that you refrain from spreading "reports" of wasted vaccine. If you want to trade anecdotes, I can tell you that at my health system they had a surplus of thawed product (due to appointment no-shows) and instead they went to the hospital and started putting it into arms.

Didn’t say it was common, I said there were reports.

[CordMcNally]

Didn’t say it was common, I said there were reports.

I'm sure it is impossible not to 'waste' some doses as these have a finite lifespan once thawed. But you said hospitals were purposefully wasting these rather than wanting to be accused of running afoul to the rules and administering it to the wrong group. Are some getting wasted? Absolutely. Are they getting wasted on purpose? I incredibly doubt it. Our hospital has been vaccinating anyone that wants it if they get into a situation where there's a time crunch.

[fatlittlepig]

[Jaqen Haghar MD]

I saw an article from a major news source the other day about hospitals intentionally wasting vaccine rather than break the “rules”. I found this rather disturbing, being that the place I’m at, vaccinated the entire hospital within a couple days, and quickly moved on to the community and outside healthcare workers, disregarding these rules from the start. Now the state is punishing places that aren’t getting the virus out and rewarding places that do. I must admit, as savage as our administrators can be here, they are often ahead of these games.

[billy]

I saw an article from a major news source the other day about hospitals intentionally wasting vaccine rather than break the “rules”. I found this rather disturbing, being that the place I’m at, vaccinated the entire hospital within a couple days, and quickly moved on to the community and outside healthcare workers, disregarding these rules from the start. Now the state is punishing places that aren’t getting the virus out and rewarding places that do. I must admit, as savage as our administrators can be here, they are often ahead of these games.

NY had to fight cuomo on this- starting monday hospitals can give out instead of wasting. There were accusations/controversy of hospitals (new rochelle) preferentially giving it out -was it to avoid wasting or did they open a new vial to then call it wasting? Glad its over with now... well starting on monday

[CordMcNally]

Looks like another Cuomo success story.

[billy]

Looks like another Cuomo success story.

with all the concierge medicine and rich people in the area, some regulations were needed- there was some clinic in queens giving it to the gen public and not 1a people, but the regulations were poorly executed and lacked some common sense.

[molar roller]

I think our policy is 14 day post covid, but 90 days if you received monoclonal antibodies

what is the reasoning behind getting the vaccine that soon after covid?
I was trying to get the vaccine as soon as I could, but now that I've tested positive, I wouldnt be in a rush to get one any time soon. Partly because someone who needs it more should get it ahead of me now, partly because the risk/benefit ratio has changed.