The saddest thing about the whole mess is the destruction of trust in several facets of healthcare. I won’t throw the baby out with the bath water, however, but will be applying a lot of critical thought to anything suggested by the system. If I can’t figure an answer that usually means it’s $. Correction. Always means it’s $.
In preventive pediatrics, monitoring, normal growth and development would be a big part of the focus, but what drives many families in for those follow up visits is requirements to follow a vaccine schedule sometimes state or school mandated. Based on CDC guidelines and other organization guidelines.
I am family medicine trained, so I spent a fair bit of time learning that approach.
But in Kaiser, you can take your baby to the vaccination clinic independent of a pediatrician visit. The vax clinic and the pediatrician's office need not even be co-located.
However, vaccines often lead to secondary issues (like fever, infection etc) which may necessitate a visit to the pediatrician's office.
I have not taken any boosters and I do not wear a mask. In my surgical practice I followed evidence based medicine and have done the same during the pandemic. Agree the Biden administration, FDA, CDC should be investigated for colluding with Pharma, but the only presidential candidate who would do so is being suppressed. We are at a sad low point in this country.
I am 82. I had Covid in May 2022. So horrible. Five hours with a sore throat!! That's it Folks! Americans are such major league hypochondriacs that nothing can be believed. "Healthy" should be eliminated as the word we now use to describe everything. Meanwhile, 65% are obese.New York Times today has an opinion article from Aaron E. Carroll who is chief heath officer of Indiana University and is NOW taking Ozempic because he is fat but "eats healthy." His Father-- also a physician --was morbidly obese. And yet no one wants to hear the truth about how we sized up in the past 60 years of diet and exercise; fitness and nutrition; and now the great WELLNESS.
I recently had a sinus infection from a normal cold that was much, much worse than my two Covid infections. I've had both shots and two boosters. No more boosters without some solid science.
Paul Offit won't take it or give it to his son, but he would vote on fda advisory to give it to everyone 6 months and older...because he is exempted from mandates. You know what it called? HYPOCRITE. Because it gonna be thousands of not so " valuable" students and healthy young healthcare workers, single parents and those who don't have such a "luxury" choice. If only 10% of you, doctors, speak up and resign, this would end forever. But who cares about "do not harm'" anymore, right?
Things are bad when a man who was once branded "Dr. Profitt" because he sat on the committee voting on his own Rotovirus vaccine, is now saying "no" to a vaccine. Never thought I'd see that in my lifetime, but given his background, that "no" is shocking and a real wakeup call.
I agree fully but, what happens when you are denied employ due to lack of boosters? I am losing privileges after 30 years at my hospital in NJ because I will not take a 3rd booster- I have taken 2 and have had Covid, without incident, at least 3 times. However, their rules and agenda are written and strictly followed with no thought. On the other hand, looking for support, legally, to help negotiate with the hospital is nill. So, yes, I will walk away but it is unfortunate that there are no legal alternatives for defending science and holding these institutions accountable.
The overriding issues are not being addressed properly. Stop politicizing the debate.
The real issue is public safety vs good public health. Or ... policy over science. Policy is determined by what will make me look good or not make me look bad. That is how policy is formulated. It is not science based. Good science is always questioning methods and results.
There was never good reason to mandate any of these policies. That actually started in the 1990's in hospitals with flu vaccines. I still see people wearing masks outdoors in the wilderness or driving around in their cars. That is sad.
Meanwhile, never had any of these vaccines. Never had Covid. In ER medicine we never got the flu. Same with Kindergarten and first grade teachers. That is natural immunity.
I just don’t know what to say/what to do, when community leaders in my city (my rabbi, no less!) retort: “there is a chorus—a large chorus—of truth telling, empirically minded physicians who regard the sources you are sharing (such as VP) as unreliable”. Please help me understand how to reply to these people, how not to lose faith in humanity!
I would suggest you respectfully disagree; eminence over evidence has caused a great deal of confusion. Dr. Prasad has consistently emphasized they lack of real data to support the Covid vaccine recommendations. Unlike faith, medicine/science is data dependent and verifiable.
I would just respond with VP's qualifications as a one of the most qualified empirically minded physicians in the US, as well as the experts he consults with. He always backs of his conclusions with data. I'm personally frustrated how too many local congregations still overly fear Covid at the leadership and member level. Zoom services are still a norm going into the High Holidays. Silliness.
I've never seen Dr Prasad get something wrong and not admit it, or claim to know something he couldn't possibly know. How many members of the chorus can you say that about?
Just like the famous "dog that did not bark in the night" (Doyle AC, "The Adventure of Silver Blaze", 1894) one category of very great personal interest to me went unlisted: How about your advice for getting this "new booster" next month for the following patient: Some 80 year-old guy, otherwise healthy but has asymptomatic coronary artery disease (s/p CAB eight years ago), still hikes every day, still solo skydiving from 14,000 feet, still working out weekly in the 140 mph wind tunnel with his coach, no smoking, no alcohol, vegetarian, monk-like daily life except no Bible studying?
I’d like to see a study showing hybrid immunity is superior in preventing meaningful human outcomes ( ED visits, missed days of work, hospitalization, death) to natural immunity--and I don’t mean a CDC study that excluded from the vaccinated group people who are within 1-2 weeks of their 1st or 2nd shot.
Fortunately I live in Spain, which is also not advising the booster for the healthy non-vulnerable. US has gone crazy.
You are almost correct - the US GOVERNMENT has gone crazy-ER!
The saddest thing about the whole mess is the destruction of trust in several facets of healthcare. I won’t throw the baby out with the bath water, however, but will be applying a lot of critical thought to anything suggested by the system. If I can’t figure an answer that usually means it’s $. Correction. Always means it’s $.
50% of the practice of pediatrics today centers on a vaccine schedule.
Seriously? Interested in Dr. Gaty’s thoughts on that.
In preventive pediatrics, monitoring, normal growth and development would be a big part of the focus, but what drives many families in for those follow up visits is requirements to follow a vaccine schedule sometimes state or school mandated. Based on CDC guidelines and other organization guidelines.
I am family medicine trained, so I spent a fair bit of time learning that approach.
Makes sense. I’m not anti-vax by any means but I am skeptical with a few things as I age.
I am skeptical of many, many things as I grow older.
Well said. As we age we see things with different eyes. Our brains review and turn things around to get a clearer picture. Thanks
Very true.
But in Kaiser, you can take your baby to the vaccination clinic independent of a pediatrician visit. The vax clinic and the pediatrician's office need not even be co-located.
However, vaccines often lead to secondary issues (like fever, infection etc) which may necessitate a visit to the pediatrician's office.
I have not taken any boosters and I do not wear a mask. In my surgical practice I followed evidence based medicine and have done the same during the pandemic. Agree the Biden administration, FDA, CDC should be investigated for colluding with Pharma, but the only presidential candidate who would do so is being suppressed. We are at a sad low point in this country.
I am 82. I had Covid in May 2022. So horrible. Five hours with a sore throat!! That's it Folks! Americans are such major league hypochondriacs that nothing can be believed. "Healthy" should be eliminated as the word we now use to describe everything. Meanwhile, 65% are obese.New York Times today has an opinion article from Aaron E. Carroll who is chief heath officer of Indiana University and is NOW taking Ozempic because he is fat but "eats healthy." His Father-- also a physician --was morbidly obese. And yet no one wants to hear the truth about how we sized up in the past 60 years of diet and exercise; fitness and nutrition; and now the great WELLNESS.
No kidding. We take more risk with off the shelf groceries than we ever will with a coronavirus.
I recently had a sinus infection from a normal cold that was much, much worse than my two Covid infections. I've had both shots and two boosters. No more boosters without some solid science.
You should have natural immunity anyway.
I am 75 and a practicing nurse practitioner. I am not getting another covid vaccine either
I’m a 64 y o practicing NP and my retired husband is 72. We aren’t either.
Dr. Offit still going on about hybrid immunity. The natural immunity is what is truly protective.
Paul Offit won't take it or give it to his son, but he would vote on fda advisory to give it to everyone 6 months and older...because he is exempted from mandates. You know what it called? HYPOCRITE. Because it gonna be thousands of not so " valuable" students and healthy young healthcare workers, single parents and those who don't have such a "luxury" choice. If only 10% of you, doctors, speak up and resign, this would end forever. But who cares about "do not harm'" anymore, right?
Things are bad when a man who was once branded "Dr. Profitt" because he sat on the committee voting on his own Rotovirus vaccine, is now saying "no" to a vaccine. Never thought I'd see that in my lifetime, but given his background, that "no" is shocking and a real wakeup call.
I agree fully but, what happens when you are denied employ due to lack of boosters? I am losing privileges after 30 years at my hospital in NJ because I will not take a 3rd booster- I have taken 2 and have had Covid, without incident, at least 3 times. However, their rules and agenda are written and strictly followed with no thought. On the other hand, looking for support, legally, to help negotiate with the hospital is nill. So, yes, I will walk away but it is unfortunate that there are no legal alternatives for defending science and holding these institutions accountable.
The overriding issues are not being addressed properly. Stop politicizing the debate.
The real issue is public safety vs good public health. Or ... policy over science. Policy is determined by what will make me look good or not make me look bad. That is how policy is formulated. It is not science based. Good science is always questioning methods and results.
There was never good reason to mandate any of these policies. That actually started in the 1990's in hospitals with flu vaccines. I still see people wearing masks outdoors in the wilderness or driving around in their cars. That is sad.
Meanwhile, never had any of these vaccines. Never had Covid. In ER medicine we never got the flu. Same with Kindergarten and first grade teachers. That is natural immunity.
Agreed. "Boycott is the only way to make companies run RCTs b/c FDA works for Bourla"
Science will either persuade or not, and people have a God given right to autonomy over their own bodies.
I just don’t know what to say/what to do, when community leaders in my city (my rabbi, no less!) retort: “there is a chorus—a large chorus—of truth telling, empirically minded physicians who regard the sources you are sharing (such as VP) as unreliable”. Please help me understand how to reply to these people, how not to lose faith in humanity!
I would suggest you respectfully disagree; eminence over evidence has caused a great deal of confusion. Dr. Prasad has consistently emphasized they lack of real data to support the Covid vaccine recommendations. Unlike faith, medicine/science is data dependent and verifiable.
I would just respond with VP's qualifications as a one of the most qualified empirically minded physicians in the US, as well as the experts he consults with. He always backs of his conclusions with data. I'm personally frustrated how too many local congregations still overly fear Covid at the leadership and member level. Zoom services are still a norm going into the High Holidays. Silliness.
I've never seen Dr Prasad get something wrong and not admit it, or claim to know something he couldn't possibly know. How many members of the chorus can you say that about?
Just like the famous "dog that did not bark in the night" (Doyle AC, "The Adventure of Silver Blaze", 1894) one category of very great personal interest to me went unlisted: How about your advice for getting this "new booster" next month for the following patient: Some 80 year-old guy, otherwise healthy but has asymptomatic coronary artery disease (s/p CAB eight years ago), still hikes every day, still solo skydiving from 14,000 feet, still working out weekly in the 140 mph wind tunnel with his coach, no smoking, no alcohol, vegetarian, monk-like daily life except no Bible studying?
I’m just a little Pyrrhonist,
Trying to do my part;
I’m not just knocking ‘experts’,
but calling BS on their charts;
Now if you love your Spikevax,
And want an inflamed heart,
Keep getting all their boosters,
From this world you’ll soon depart.
😂👍🏻
53 and never had the first shot. Certainly won’t be getting any boosters.
I’d like to see a study showing hybrid immunity is superior in preventing meaningful human outcomes ( ED visits, missed days of work, hospitalization, death) to natural immunity--and I don’t mean a CDC study that excluded from the vaccinated group people who are within 1-2 weeks of their 1st or 2nd shot.
I think "hybrid immunity" is more of a face-saving concept.