Medical Discussion of Coronavirus

[StateOfMyHead]

So, what is the CDC recommendation on masks in physician's offices for vaccinated patients and staff.

Do all have to wear mask in order to protect the un-vaccinated patients for the slim chance of transmitting COVID or can they be maskless. I am not quite clear on this.

Or we can just offer millions of dollars worth of incentives like lotteries to encourage the un-vaccinated to get with the global program. Wait that is already happening. The past year + has literally felt like I'm on an episode of The Twilight Zone.

[Tim]

Or we can just offer millions of dollars worth of incentives like lotteries to encourage the un-vaccinated to get with the global program. Wait that is already happening. The past year + has literally felt like I'm on an episode of The Twilight Zone.

A few zeros missing. Trillions!

[MPMD]

Or we can just offer millions of dollars worth of incentives like lotteries to encourage the un-vaccinated to get with the global program. Wait that is already happening. The past year + has literally felt like I'm on an episode of The Twilight Zone.

i'm very much in the "don't criticize the lottery" camp.

i agree we are reaching people who might be somewhat irrational, but this is a public health thing not a judgement thing

[CordMcNally]

Or we can just offer millions of dollars worth of incentives like lotteries to encourage the un-vaccinated to get with the global program. Wait that is already happening. The past year + has literally felt like I'm on an episode of The Twilight Zone.

We spend a whole lot more money on stupider things...

[StateOfMyHead]

i'm very much in the "don't criticize the lottery" camp.

i agree we are reaching people who might be somewhat irrational, but this is a public health thing not a judgement thing

Sigh, I guess I was misguided to hope the majority of citizens would at least get us to the point where it is no longer a public health crisis.

[CordMcNally]

Sigh, I guess I was misguided to hope the majority of citizens would at least get us to the point where it is no longer a public health crisis.

Is it still considered a crisis at this point? If so, what makes it a crisis? I'm sure our definitions of crisis will probably be different.

[StateOfMyHead]

Is it still considered a crisis at this point? If so, what makes it a crisis? I'm sure our definitions of crisis will probably be different.

Personally I didn't think it still was from a standpoint of overwhelming hospitals and resources but read MPMD's post to indicate it might be? I also didn't mean to pass judgement on whether people get vaccinated and while I agree we spend money on many stupid things this is definitely one we could do without, at this point in the roll out, in my opinion.

[Tim]

Personally I didn't think it still was from a standpoint of overwhelming hospitals and resources but read MPMD's post to indicate it might be? I also didn't mean to pass judgement on whether people get vaccinated and while I agree we spend money on many stupid things this is definitely one we could do without, at this point in the roll out, in my opinion.

And some say a "public health issue" is the only priority. Lockdowns, close schools, live in isolation for as long as it takes to "lower the curve". There is actually a cost/benefit decision that needs to be made. MPMD is very capable of doing that. Just because we choose to use a "shotgun of money" approach rather than targeting does not make it wise. Incentives are fine. Effective messaging with incentives might have produced a better yield. If one looks at the demographics, the only way to reach the 80% is to vaccinate those under 17. Considering the statistics, "we used a shotgun". Makes as much sense to enter the 1A healthcare workers that were given priority. Hope one of them win, changed their mind and got vaccinated.

[billy]

Anyones hospitals discussing booster shots, or checking quantitative antibodies a few months post vaccination? I'm assuming some of us here are entering month 6+ post vaccine, wondering how long we should expect immunity to last on average. Hatton- any news/update from the trial?

[Hatton]

Anyones hospitals discussing booster shots, or checking quantitative antibodies a few months post vaccination? I'm assuming some of us here are entering month 6+ post vaccine, wondering how long we should expect immunity to last on average. Hatton- any news/update from the trial?

I have an appointment in August for follow up blood testing. That will be one year that I have been vaccinated. I am assuming this is how the need for a booster is being determined. I had blood drawn about 3 months ago as well.

[VagabondMD]

Local endocrinologist seeing “several” post covid vacc cases of Hashimoto’s thyroiditis. Not sure if all manufacturers. Anyone seeing this?

how about the post covid vacc myocarditis?

I visited my primary care doc last week, who is an ID specialist. He told me that he has a young patient in the ICU with a balloon pump from myocarditis, a few weeks after the vaccine. Purely anecdotal, of course, but he is concerned that it is from the vaccine.

[HikingDO]

I visited my primary care doc last week, who is an ID specialist. He told me that he has a young patient in the ICU with a balloon pump from myocarditis, a few weeks after the vaccine. Purely anecdotal, of course, but he is concerned that it is from the vaccine.

Did he happen to say which vaccine?

[VagabondMD]

Did he happen to say which vaccine?

He did not.

[Jaqen Haghar MD]

I visited my primary care doc last week, who is an ID specialist. He told me that he has a young patient in the ICU with a balloon pump from myocarditis, a few weeks after the vaccine. Purely anecdotal, of course, but he is concerned that it is from the vaccine.

It would make sense and we talked about this a while back. What happens when the vaccine gets into the bloodstream, and is taken up by cardiac tissue, and the cardiac cells start expressing and pumping out viral antigens? It’s going to get attacked by the immune system. I’m glad it’s rare, but if the vaccine leaks out of the muscle (and some of it will) it would make sense to have collateral damage sometimes.

There could, of course, just be the classic autoimmune processes that can occur rarely from any vaccine too.

Hopefully the good it does, greatly outweighs the risk... which can never be zero.

[Perry Ict]

The CDC lost a huge amount of credibility and respect during all of this. They pretty much revealed themselves to be a political mouthpiece for whoever, when it came to COVID policies.

I’ve still been wearing my novelty “show mask” when out, where required, as I’ve done for the last 9 months, but here, businesses are quickly dropping all mask requirements. The gym dropped all mask requirements, the grocery store chains have now dropped them, going by the honors system for vaccination. Restaurants and bars haven’t enforced masks at all for for anyone, for probably 5 months.

It is absolutely packed here also. With all the permanent relocations, and now Covid vacationers looking to get out of the more restrictive states and get a break, we’ve been slammed for months.

I still wear my “real mask” at work, but I think I’ve only seen one mild Covid case in the past week or two. Down from 15-20 per day during our peaks. It’s been extremely busy volume-wise due to the population increase and the lack of fear of getting out and doing things.

The state was lax with restrictions during the entire pandemic, and Armageddon never came. Our biggest problem was losing staff to lockdown states in crisis. They just couldn’t resist the travel bonuses.

Yes, CDC and numerous others (media, politicians, social media companies etc). This crisis was unfortunately politicized by so many figures and institutions across various issues, and it has become so apparent in retrospect that it's embarrassing. Take another example, the lab leak theory. Not only was it mocked by some as a conspiracy theory, it was literally banned and censored (in our great country of "free speech") until recently. Now, as more and more information is being looked at, it's being seriously investigated, and media companies and others are trying to cover for themselves, some even doing stealth edits on their previous "fact checks" that "debunk" the lab leak theory. Shameful!