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re: Doctor’s perspective

Posted on 7/21/21 at 9:59 pm to
Posted by BugAC
St. George
Member since Oct 2007
57012 posts
Posted on 7/21/21 at 9:59 pm to
quote:

You did not read my post apparently. I said this happened last March and part of April 2019. I said we are now seeing more cases but not seeing as many deaths


My mistake. I must have misread your post.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 7/21/21 at 9:59 pm to
quote:

Hell I don’t trust anyone that post on TD.
Posted by Iron Lion
Romulus
Member since Nov 2014
13754 posts
Posted on 7/21/21 at 10:02 pm to
quote:

If the OT lounge could see the things I’ve seen with COVID it would be veryyyyy different. All I can say is get your shot and cross your fingers. I’m nervous again.

Shut up
Posted by Grasshopper
Ocean Springs, MS
Member since Dec 2007
1087 posts
Posted on 7/21/21 at 10:02 pm to
quote:


quote:

South Mississippi had 17 COVID deaths in people aged 18-24. So yes it was very bad.


When?


LINK
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 7/21/21 at 10:03 pm to
quote:

quote:

Wait. Medicare will pay for multiple turnipectomies?
Absolutely. The cost of a persistent vegetative state is way higher.
This post was edited on 7/21/21 at 10:04 pm
Posted by TigerTatorTots
The Safeshore
Member since Jul 2009
82058 posts
Posted on 7/21/21 at 10:10 pm to
quote:

I’m nervous again
Again? As in implying you were nervous before? What data have you seen that isn't public because the public data on death rate for people not at risk dictate no one should be nervous unless you have pre-existing conditions
Posted by lsusteve1
Member since Dec 2004
46452 posts
Posted on 7/21/21 at 10:14 pm to
quote:

They are too stupid. Don’t even try. It’s survival of the fittest. I’ll just be very disappointed to lose more fellow conservatives. I respect their choice to not get vaccinated though.


Tell us again the largest demographic NOT vaccinated?

Douche
Posted by DomincDecoco
RIP Ronnie fights Thoth’s loafers
Member since Oct 2018
11693 posts
Posted on 7/21/21 at 10:19 pm to
How much of this wave is delta gamma, alpha or foxtrot?
Posted by tiggerfan02 2021
HSV
Member since Jan 2021
3945 posts
Posted on 7/21/21 at 10:20 pm to
quote:

quote:

This fact escapes some who claim to be high IQ.
If you are in an ICU, you have a major problem, regardless of whether you got there from a car wreck, gunshot, heart attack, or the super mega Delta crono.


Medical ICU: Yes this is correct

Surgical ICU:. Most people get better and leave the unit.



Agreed.
But this post is obviously not speaking of people coming out of major surgery who are expected to survive.
Posted by Grasshopper
Ocean Springs, MS
Member since Dec 2007
1087 posts
Posted on 7/21/21 at 10:30 pm to
We all have to make the most informed decision for ourselves. I chose to be vaccinated. I understand people that are hesitant to get the vaccine. I have to admit I was nervous when I got mine but It was an easy decision in my profession.

I'm not someone who thinks we should require masks or close things down again. If you are vulnerable you need to protect yourself. If you chose to be unvaccinated that is your decision and I'm not trying to change your mind. I am just agreeing with the OP. Being on the front line will definitely change your perspective of COVID.

Stay safe everyone; vaxed or unvaxxed.
This post was edited on 7/21/21 at 10:35 pm
Posted by jimmy the leg
Member since Aug 2007
42292 posts
Posted on 7/21/21 at 10:31 pm to
My apologies, I left some info out.

As such I will try again:

quote:

Why would someone that had previously had Covid need the vaccine unless they had major health issues?
Posted by CoolKat
Member since Apr 2016
447 posts
Posted on 7/21/21 at 10:36 pm to
Know what a “booster” shot is?
Posted by jimmy the leg
Member since Aug 2007
42292 posts
Posted on 7/21/21 at 10:38 pm to
Nice deflection.

Now kindly..

Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 7/21/21 at 11:22 pm to
quote:

Doctors weren’t doing this before covid?



Probably everyone who did any considerable training in an ICU setting came across a patient requiring prolonged intubation and mechanical ventilation from an ARDS-like illness.

Very few of them, even in tertiary ICUs during bad influenza seasons have seen the number of patients this poorly responsive to attempts to wean vent settings. I’m actually undecided if the lingering effects in those that do go on to get better is any different in other illnesses. I don’t think it’s necessarily any worse. I don’t think it’s any better. Viral cardiomyopathy and coagulopathy has been recognized entities since long before I entered medicine. There is a higher gross number than I’ve ever seen, but I don’t know that the rate is any different than in other severe illnesses

We’ve all seen people as sick as the sickest COVID patients. We’ve all seen a ton that we know are going to die and have no chance.

But the volume of very sick people who have prolonged hospital courses is the highest I have ever seen or heard of, talking to my older colleagues.


I’m generally not an alarmist, and I am not trying to be with this post. But the volume of “very sick” has been high compared to years past. Please don’t let the hullabaloo and nonsense and political posturing and hyperbole that is is present everywhere distract from that.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 7/21/21 at 11:36 pm to
quote:

Why would someone that had previously had Covid need the vaccine unless they had major health issues?



I and five physician friends who contacted the virus opted into vaccination.
Reasoning:
Generally speaking, both infection and vaccination lead to B and T call formation/training/education. These are generally highest in the subacute setting. You have some “memory” cells that float around one circulating antibody levels decrease. Repeat exposure to the same antigen generally leads to more rapid production of neutralizing antibodies and t-cell responses, which theoretically leads to reduced chances of viral shedding —> less chances of repeat sick days and spread infection. Each of us felt the risk of vaccination was far less than the potential for benefit (in simple terms, the response after vaccination of the post-infected patient should be more vigorous and also should last longer)


ETA- only fair to add that were at one additional colleague who contacted the virus with us that did not get vaccinated. I will not divulge the specialty, but they are not in a field that deals with vaccinations or respiratory illnesses.
This post was edited on 7/21/21 at 11:43 pm
Posted by jimmy the leg
Member since Aug 2007
42292 posts
Posted on 7/22/21 at 7:49 am to
quote:

I and five physician friends who contacted the virus opted into vaccination.


I appreciate your response, and given your area of expertise, your reply is logical. In your circumstances, I would imagine that most would do the same thing. However, most aren’t in your shoes, so to add a layer of opinion, are your thoughts the same for a lay person that doesn’t have your level of interactions?
This post was edited on 7/22/21 at 7:50 am
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 7/22/21 at 8:03 am to
quote:

to add a layer of opinion, are your thoughts the same for a lay person that doesn’t have your level of interactions?



I would still recommend it for them, and the father from infection they are, the more beneficial it would probably be. But I wouldn’t find them unreasonable to decline.
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