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  • Organs aren't necessarily in abundance for transplant so I have no problems with them being strict on who gets one in order to make the chance for success as high as possible.

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    • Originally posted by Tim View Post
      Northwell Health fired 1,400 in NY.

      The accounting firm Arthur Anderson fired zero. I wonder how many the other, remaining Big 4 fired. The government can destroy any individual or company they choose and any organization.
      The Supreme Court reversed the conviction of AA. Makes no difference. Don’t fight the government, you will lose. That is a fact. Pick your battles, but not against the government.
      Employers and individuals don’t have the ability resist under any circumstances.

      I find it curious that a requirement for refusing all vaccines but not a mandate for all vaccines. This is a losing battle.

      Kidney transplant denied without a vaccine. Patient and donor left try to find a hospital in another state. For some, it’s not just losing a job, your life is fair game. It’s not just the healthcare system, the mandate is all encompassing.
      It would be irresponsible not to de-list someone who refused vaccination. Transplant centers can lose their access to UNOS if their all-cause 1 year mortality is too high, which means the program closes, and everybody who could have gotten a future transplant there either dies without transplantation or has to try and find another center. Transplanting someone who is willingly risking dying of COVID by refusing vaccination is increasing the odds that the transplant program shuts down due to a preventable death. That hurts not only the individual who died, but potentially other people who fail to get a lifesaving transplant because the program closed. Just because a patient wishes to take a selfish action doesn't mean we as physicians should indulge them.

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      • ditto what pulmdoc said.

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        • Yeah, it would be different if kidneys were in great abundance. Since they are not, and since (besides death) COVID can cause permanent renal failure, it makes sense to require a potential renal transplant patient to get vaccinated.

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          • Looks like it will be acceptable to mix/match vaccines for the booster? What are you going to do? I'm on the fence. I got Moderna and am considering adding Pfizer booster.

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            • I boosted with third dose of Pfizer. I think if I had only one dose of JnJ i would probably get a second dose of the same.

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              • I got Pfizer and will be boosting with Moderna.

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                • Originally posted by Shant View Post
                  I got Pfizer and will be boosting with Moderna.
                  I was planning to do the same. Now the question is whether to go out and get it today from CVS - which would presumably be the 100mcg dose - or wait for the actual booster to be available at the reduced 50mcg dose...

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                  • Originally posted by SpacemanSpiff12 View Post

                    I was planning to do the same. Now the question is whether to go out and get it today from CVS - which would presumably be the 100mcg dose - or wait for the actual booster to be available at the reduced 50mcg dose...
                    I got 2 pfizer and boosted with 100mcg Moderna. I was sick for at least 12 hours after the booster. Now I know why.

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                    • Originally posted by StateOfMyHead View Post
                      Looks like it will be acceptable to mix/match vaccines for the booster? What are you going to do? I'm on the fence. I got Moderna and am considering adding Pfizer booster.
                      Get whichever one you want, assuming you need one.

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                      • Originally posted by Hatton View Post

                        I got 2 pfizer and boosted with 100mcg Moderna. I was sick for at least 12 hours after the booster. Now I know why.
                        Precision and accuracy should not impact judgement. Good choice.
                        2 Moderna and Pfizer booster. The wife is resisting the booster due to discomfort. I doubt a discussion of dosage will impact her past experience. I hope one of her docs just says, “Get a booster”, quit procrastinating.

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                        • was going to get the Pfizer booster a few Fridays ago when my 7yo came down with fever & headache at school...antigen test the next day strongly +. Was febrile for 3 days then back to normal day 4 or 5. The 5yo was asymptomatic and had a concurrent neg antigen test, then + PCR 5 days later, same course with fever and congestion, no lung symptoms. It's been 12 days since the 7yo felt ill...I've taken a dozen antigen tests (mostly out of curiosity, despite the low sensitivity) and 2 PCR, all neg, and am still asymptomatic.

                          I suppose there's a chance I could still develop symptoms over the next week, or my initial vaccine (Dec '20 and Jan '21) provided me adequate protection.
                          I guess I'll still get the booster at some point this Fall, but surprised my PCR test would still be negative. I've been living and breathing with the kids, they slept in our bed when ill...just weird.
                          Last edited by GlassPusher; 10-19-2021, 01:11 PM.

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                          • Originally posted by GlassPusher View Post
                            was going to get the Pfizer booster a few Fridays ago when my 7yo came down with at school...antigen test the next day strongly +. Was febrile for 3 days then back to normal day 4 or 5. The 5yo was asymptomatic and had a concurrent neg antigen test, then + PCR 5 days later, same course with fever and congestion, no lung symptoms. It's been 12 days since the 7yo felt ill...I've taken a dozen antigen tests (mostly out of curiosity, despite the low sensitivity) and 2 PCR, all neg, and am still asymptomatic.

                            I suppose there's a chance I could still develop symptoms over the next week, or my initial vaccine (Dec '20 and Jan '21) provided me adequate protection.
                            I guess I'll still get the booster at some point this Fall, but surprised my PCR test would still be negative. I've been living and breathing with the kids, they slept in our bed when ill...just weird.
                            Glad it worked out well for you but similar story with my kids and my wife and I both caught it. I got it right away a day or so behind them. My wife did not get sick until the day the last of us came off of quarantine. 15 days after first kid showed symptoms. It was a real PITA.

                            I wish you luck and hope that you do not get it! My kids are younger and likely more in our faces than yours so maybe that did it.

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                            • Originally posted by Lordosis View Post

                              Glad it worked out well for you but similar story with my kids and my wife and I both caught it. I got it right away a day or so behind them. My wife did not get sick until the day the last of us came off of quarantine. 15 days after first kid showed symptoms. It was a real PITA.

                              I wish you luck and hope that you do not get it! My kids are younger and likely more in our faces than yours so maybe that did it.
                              yeah i suppose I'm not out of the woods yet...crazy how long the latency period & prodrome can be.

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                              • Originally posted by GlassPusher View Post

                                yeah i suppose I'm not out of the woods yet...crazy how long the latency period & prodrome can be.
                                Yeah I don't know why it took her so long to convert. She had Moderna and I had Pfizer and she happened to be working the day it all started with the kids so I took the brunt of the exposure but we both had significant exposure. You cannot isolate from a 2 year old. Trust me I try everyday!

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