pulmonarymd
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Post by pulmonarymd on Jan 13, 2022 13:41:31 GMT -5
And yet Ricketts is still proudly blocking mask and vaccine mandates. Because I am morbidly curious what happens after stage one? www.ketv.com/article/nebraska-medicine-crisis-standards-care-plan/38757463 "Our leadership made the difficult decision to activate this plan today because our community’s demand for health care currently exceeds our available resources," Kayla Thomas, senior media relations for Nebraska Medicine stated in a press release.
So what does that mean for patients?
Right now, Nebraska Medicine said it is currently in 'stage one' of the plan.
That means surgeries may be postponed, patient transfers may be denied, clinical trials may be paused, appointments may be rescheduled or fewer may be available, and you may find medical students or other staff being used as support personnel.Here is the crisis standard of care from a community hospital standpoint. Patient comes in and has a complex medical problem, and is cared for at tertiary care center. She is stable, but has a high chance of getting sicker. Call goes out, and tertiary care center says "yes, you are right, she should be here. Sorry, we have no beds." She is cared for by me, and they call every other day to tell us they still have no beds. She then decompensates(as I suspected she would) and is horribly unstable. I spend all day trying to treat her(and not havin g any success). The finally have a bed for her 8 hours later. Gets put on helicopter for a 12 minute flight, moribund. She will likely not survive. Patient treated by me with severe COVID. Gets worse. Want to transfer her to ECMO. Call tertiary care center #2. They agree she is a good candidate, but have no beds. We are now on day 5 waiting to transfer her. She will likely not survive either. That is what will happen and worse in a crisis standard of care scenario. The major medical centers cannot take everyone who needs their expertise because there are not enough resources. And people will die.
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stillmovingforward
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Post by stillmovingforward on Jan 13, 2022 14:04:43 GMT -5
Wow! Sounds like my DSIL and DD1's days (and nights and days off and birthday and....). They feel like a groundhog day movie but it's a nightmare and not a comedy.
My heart breaks for them, you, and anyone else in healthcare. I'm vaccinated, boosted,masked, and staying home except going to work. Trying to do my little bit (plus they yell at me nicely as I am very very high risk).
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busymom
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Post by busymom on Jan 13, 2022 14:09:37 GMT -5
And yet Ricketts is still proudly blocking mask and vaccine mandates. Because I am morbidly curious what happens after stage one? www.ketv.com/article/nebraska-medicine-crisis-standards-care-plan/38757463 "Our leadership made the difficult decision to activate this plan today because our community’s demand for health care currently exceeds our available resources," Kayla Thomas, senior media relations for Nebraska Medicine stated in a press release.
So what does that mean for patients?
Right now, Nebraska Medicine said it is currently in 'stage one' of the plan.
That means surgeries may be postponed, patient transfers may be denied, clinical trials may be paused, appointments may be rescheduled or fewer may be available, and you may find medical students or other staff being used as support personnel.Here is the crisis standard of care from a community hospital standpoint. Patient comes in and has a complex medical problem, and is cared for at tertiary care center. She is stable, but has a high chance of getting sicker. Call goes out, and tertiary care center says "yes, you are right, she should be here. Sorry, we have no beds." She is cared for by me, and they call every other day to tell us they still have no beds. She then decompensates(as I suspected she would) and is horribly unstable. I spend all day trying to treat her(and not havin g any success). The finally have a bed for her 8 hours later. Gets put on helicopter for a 12 minute flight, moribund. She will likely not survive. Patient treated by me with severe COVID. Gets worse. Want to transfer her to ECMO. Call tertiary care center #2. They agree she is a good candidate, but have no beds. We are now on day 5 waiting to transfer her. She will likely not survive either. That is what will happen and worse in a crisis standard of care scenario. The major medical centers cannot take everyone who needs their expertise because there are not enough resources. And people will die. I don't envy you of your job right now. It must be difficult enough, during normal times, to make life & death decisions. But, to know a patient needs a specific type of care, and not being able to get it must be truly horrible. Please don't blame yourself for these losses.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Jan 13, 2022 14:34:32 GMT -5
And yet Ricketts is still proudly blocking mask and vaccine mandates. Because I am morbidly curious what happens after stage one? www.ketv.com/article/nebraska-medicine-crisis-standards-care-plan/38757463 "Our leadership made the difficult decision to activate this plan today because our community’s demand for health care currently exceeds our available resources," Kayla Thomas, senior media relations for Nebraska Medicine stated in a press release.
So what does that mean for patients?
Right now, Nebraska Medicine said it is currently in 'stage one' of the plan.
That means surgeries may be postponed, patient transfers may be denied, clinical trials may be paused, appointments may be rescheduled or fewer may be available, and you may find medical students or other staff being used as support personnel.Here is the crisis standard of care from a community hospital standpoint. Patient comes in and has a complex medical problem, and is cared for at tertiary care center. She is stable, but has a high chance of getting sicker. Call goes out, and tertiary care center says "yes, you are right, she should be here. Sorry, we have no beds." She is cared for by me, and they call every other day to tell us they still have no beds. She then decompensates(as I suspected she would) and is horribly unstable. I spend all day trying to treat her(and not havin g any success). The finally have a bed for her 8 hours later. Gets put on helicopter for a 12 minute flight, moribund. She will likely not survive. Patient treated by me with severe COVID. Gets worse. Want to transfer her to ECMO. Call tertiary care center #2. They agree she is a good candidate, but have no beds. We are now on day 5 waiting to transfer her. She will likely not survive either. That is what will happen and worse in a crisis standard of care scenario. The major medical centers cannot take everyone who needs their expertise because there are not enough resources. And people will die. That's what I figured. I suppose I better stick with my plan of praying to not need to receive medical care anytime in the near future. And by near future I am guessing probably the next 5 years as we race to treat those who got left behind during the pandemic. And what boggles, but shouldn't anymore, my brain is that unvaccinated people still don't get it. You may not get COVID. You may get it and end up with just a cold but now you can't get treated for that heart attack or cancer either because people like you who didn't get lucky are hogging the hospital beds. Getting vaccinated is in your best interest health wise across multiple spectrums.
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teen persuasion
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Post by teen persuasion on Jan 13, 2022 14:39:33 GMT -5
And yet Ricketts is still proudly blocking mask and vaccine mandates. Because I am morbidly curious what happens after stage one? www.ketv.com/article/nebraska-medicine-crisis-standards-care-plan/38757463 "Our leadership made the difficult decision to activate this plan today because our community’s demand for health care currently exceeds our available resources," Kayla Thomas, senior media relations for Nebraska Medicine stated in a press release.
So what does that mean for patients?
Right now, Nebraska Medicine said it is currently in 'stage one' of the plan.
That means surgeries may be postponed, patient transfers may be denied, clinical trials may be paused, appointments may be rescheduled or fewer may be available, and you may find medical students or other staff being used as support personnel.Here is the crisis standard of care from a community hospital standpoint. Patient comes in and has a complex medical problem, and is cared for at tertiary care center. She is stable, but has a high chance of getting sicker. Call goes out, and tertiary care center says "yes, you are right, she should be here. Sorry, we have no beds." She is cared for by me, and they call every other day to tell us they still have no beds. She then decompensates(as I suspected she would) and is horribly unstable. I spend all day trying to treat her(and not havin g any success). The finally have a bed for her 8 hours later. Gets put on helicopter for a 12 minute flight, moribund. She will likely not survive. Patient treated by me with severe COVID. Gets worse. Want to transfer her to ECMO. Call tertiary care center #2. They agree she is a good candidate, but have no beds. We are now on day 5 waiting to transfer her. She will likely not survive either. That is what will happen and worse in a crisis standard of care scenario. The major medical centers cannot take everyone who needs their expertise because there are not enough resources. And people will die. Local newspaper has been looking into the numbers in hospital beds here. Hospitals have said there's a large number who no longer need to be in the hospital, but can't go home - need to go to another facility of some type, nursing home, rehab, etc. As you said, no space in those facilities due to lack of staffing right now. So they stay in the hospital, filling up needed beds. Those patients plus Covid patients puts them at or near the max.
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pooks
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Post by pooks on Jan 13, 2022 17:53:29 GMT -5
DD seems to have caught it, I say seems to, because good luck finding a test. She started this semester on Monday, felt sickish Wednesday night, and woke up feeling worse. Thursdays class is now online, because half the class is out, before DD even notified the professor that she wouldn't be in class. She has a fever and a really sore throat, vaccinated and boosted, so hopefully she pulls through quickly.
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seriousthistime
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Post by seriousthistime on Jan 14, 2022 10:34:13 GMT -5
According to CDC data, only 37.5% of fully vaccinated* people in the US have gotten the booster. So it seems that even people who have been reasonably diligent about getting vaccinated are dragging their feet on the booster. *meaning they've had two doses of a two-dose vaccine or one dose of a single-dose vaccine. covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-total-admin-rate-total
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Opti
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Post by Opti on Jan 14, 2022 10:48:54 GMT -5
According to CDC data, only 37.5% of fully vaccinated* people in the US have gotten the booster. So it seems that even people who have been reasonably diligent about getting vaccinated are dragging their feet on the booster. *meaning they've had two doses of a two-dose vaccine or one dose of a single-dose vaccine. covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-total-admin-rate-totalI see the numbers for over 65 and over 50 are better than 50% on the boosters.
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stillmovingforward
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Post by stillmovingforward on Jan 14, 2022 10:58:03 GMT -5
I was told yesterday to get my booster but, as I have a series of 3 shots due to being on immunosuppressants and everywhere around me is swamped with people getting boosters, the doctor said good luck getting a 4th one. He wants me to try and find one but not expose myself 🤔
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seriousthistime
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Post by seriousthistime on Jan 14, 2022 12:18:01 GMT -5
According to CDC data, only 37.5% of fully vaccinated* people in the US have gotten the booster. So it seems that even people who have been reasonably diligent about getting vaccinated are dragging their feet on the booster. *meaning they've had two doses of a two-dose vaccine or one dose of a single-dose vaccine. covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-total-admin-rate-total I see the numbers for over 65 and over 50 are better than 50% on the boosters.Still shockingly low, IMHO.
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Post by The Walk of the Penguin Mich on Jan 14, 2022 20:01:27 GMT -5
According to CDC data, only 37.5% of fully vaccinated* people in the US have gotten the booster. So it seems that even people who have been reasonably diligent about getting vaccinated are dragging their feet on the booster. *meaning they've had two doses of a two-dose vaccine or one dose of a single-dose vaccine. covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-total-admin-rate-totalWe only got our booster last week. You really need to consider that some states opened initial vaccination up by age. DH and I are both over 60, and vaccination did not open up for us until March 31. A month later, it opened up for everyone. Most on here who were younger than we are were long vaccinated by the time we were eligible. Our last vaccination was the end of April. We were not eligible for a booster until Nov. TBH, I posted that I was deliberately going to delay getting boosted, even if we were still in the US as I wanted my circulating antibody to be as low as possible. If you vaccinate too early, circulating antibody binds up the foreign spike protein before your immune cells get a chance to see it and it makes the vaccine less effective. I delayed getting boosted for 2 months.
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Post by Opti on Jan 14, 2022 20:15:50 GMT -5
I see the numbers for over 65 and over 50 are better than 50% on the boosters. Still shockingly low, IMHO. I think Mitch makes a great point. I had my second shot in February, however, because I was under 65, I wasn't approved for the booster until sometime around Thanksgiving. Its only because of a fellow church member did I learn of the county giving boosters. I got my booster a little more than nine months after my second shot because of when the approval came out. It would be interesting to know, how many people are fully vaccinated, but its been less than six months since they were fully vaccinated.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Jan 14, 2022 21:07:01 GMT -5
According to CDC data, only 37.5% of fully vaccinated* people in the US have gotten the booster. So it seems that even people who have been reasonably diligent about getting vaccinated are dragging their feet on the booster. *meaning they've had two doses of a two-dose vaccine or one dose of a single-dose vaccine. covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-total-admin-rate-totalWe only got our booster last week. You really need to consider that some states opened initial vaccination up by age. DH and I are both over 60, and vaccination did not open up for us until March 31. A month later, it opened up for everyone. Most on here who were younger than we are were long vaccinated by the time we were eligible. Our last vaccination was the end of April. We were not eligible for a booster until Nov. TBH, I posted that I was deliberately going to delay getting boosted, even if we were still in the US as I wanted my circulating antibody to be as low as possible. If you vaccinate too early, circulating antibody binds up the foreign spike protein before your immune cells get a chance to see it and it makes the vaccine less effective. I delayed getting boosted for 2 months. DH and I were in the last age group to be approved. Then we had to wait because we went through another round of COVID. Then my highest priority was getting the kids vaccinated. We weren't even at six months till November anyhow. and they were still debating for my age at that point priority was elderly and immune compromised so I waited my turn. So we're only two months off and that's only in hindsight based on current recommendations.
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jerseygirl
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Post by jerseygirl on Jan 17, 2022 16:38:12 GMT -5
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❤ mollymouser ❤
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Post by ❤ mollymouser ❤ on Jan 18, 2022 14:35:25 GMT -5
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TheOtherMe
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Post by TheOtherMe on Jan 18, 2022 16:10:48 GMT -5
Signed up for mine. Appears they might get here in mid February.
If you live in an apartment building, etc. be sure and sign up first. Seeing lots of "that address has ordered previously" messages on Twitter.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Jan 18, 2022 16:36:39 GMT -5
I was reading about this yesterday and it makes sense that a 4th booster is not going to provide that much more protection. After a certain point with any medical intervention you hit a wall as far as benefit goes and sometimes even move into harmful territory. Not that I think it's going to hurt you to have a 4th booster, I've just been wondering about how effective is devoting resources to that actually going to be. These shots are already incredibly effective at one to two doses, three tops them off. The goal was never supposed to be zero transmission but to reduce hospital rates and death (which isn't happening thanks to anti-vaxxers). Only smallpox was 100% effective at eliminating a virus from the world and that's because we're the only reservoir of it. COVID is here to stay. Eventually I'm betting COVID shots will become a yearly thing like the flu where the put mRNA of current or predicted mutations in and away you go. www.cnbc.com/2022/01/17/omicron-preliminary-study-in-israel-shows-fourth-covid-vaccine-shots-are-less-effective.htmlA fourth shot of Covid-19 vaccine boosts antibodies to even higher levels than the third jab but it is not enough to prevent Omicron infections, according to a preliminary study in Israel.
Israel’s Sheba Medical Center has given second booster shots in a trial among its staff and is studying the effect of the Pfizer booster in 154 people after two weeks and the Moderna booster in 120 people after one week, said Gili Regev-Yochay, director of the infectious diseases unit.
These were compared to a control group that did not receive the fourth shot. Those in the Moderna group had previously received three shots of Pfizer’s vaccine, the hospital said.
The vaccines led to a increase in the number of antibodies “even a little bit higher than what we had after the third dose,” said Regev-Yochay.
“Yet, this is probably not enough for the omicron,” she told reporters. “We know by now that the level of antibodies needed to protect and not to got infected from Omicron is probably too high for the vaccine, even if it’s a good vaccine.”
This one is cool too and will be of huge benefit in getting developing nations vaccinated if clinical trials back it up. It can go where having the ability to store the mRNA vaccines is difficult or impossible. www.texastribune.org/2021/10/19/texas-covid-19-vaccine-peter-hotez/The Bottazi and Hotez vaccine relies on a production process very similar to the way the Hepatitis B vaccine is made that’s been produced and used around the world for decades. The two argue that the familiarity with the process and the ease with which the materials can be gotten makes it easier to quickly ramp up global production compared to the newer vaccines, even if they came onto the market a little later.Also a fair point. I know my SIL has all her childhood vaccines you can't attend Iowa schools without them (or at least couldn't when we were kids) but won't get the COVID shot because she doesn't trust the scary mRNA moniker on it. If basic psychology gets her to get it then I'm cool with it. As the world scrambles for doses to meet the vaccination demand elsewhere, this nation’s vaccination effort has flagged, hitting a wall of hesitation by a significant portion of the American public that is declining the new vaccines, although they have proven to be safe and effective. Hotez and Bottazzi believe their vaccine would likely be more accepted by those who don’t trust a vaccine that is unfamiliar to them, like those by Pfizer and Moderna.
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Opti
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Post by Opti on Jan 18, 2022 19:53:08 GMT -5
Thanks for posting that DQ. I do think Pharma needs to start working on tweaks for variants as they come out. www.msn.com/en-us/news/us/omicron-is-not-that-mild-50-000-to-300-000-more-us-deaths-projected-by-march-covid-19-updates/ar-AASThPf?ocid=msedgntpFor anyone getting complacent about the coronavirus because the now-dominant omicron variant typically causes less-severe disease than previous strains, here's a sobering thought: 50,000 to 300,000 more Americans may die of COVID-19 before the current surge ebbs in mid-March.
Those are the projections of modelers, providing a grim reminder that omicron's remarkable infectiousness more than makes up for its seemingly softer punch.
Those are the projections of modelers, providing a grim reminder that omicron's remarkable infectiousness more than makes up for its seemingly softer punch.
The biggest concern in the coming weeks is reflected by simple math: Even if new infections have peaked in some parts of the U.S., they're averaging around 800,000 a day nationwide, more than three times as many as in that brutal wave a year ago. That will inevitably lead to hospitals stretched beyond their limits and thousands of deaths. There are currently about 150,000 patients in hospitals with COVID.
Katriona Shea of Pennsylvania State University, who co-leads a team that pulls together several pandemic models and shares the combined projections with the White House, expects the coming wave of deaths to crest in late January or early February, possibly surpassing last year's delta peak.
“This is omicron driven,” Shea said, underscoring once again the danger posed by the latest variant.
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Opti
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Post by Opti on Jan 18, 2022 19:54:48 GMT -5
Signed up for mine. Appears they might get here in mid February. If you live in an apartment building, etc. be sure and sign up first. Seeing lots of "that address has ordered previously" messages on Twitter. Shouldn't it take apt numbers into account?
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busymom
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Post by busymom on Jan 18, 2022 21:59:40 GMT -5
Thank you for the link. I've ordered for our house, with no problems.
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NastyWoman
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Post by NastyWoman on Jan 19, 2022 3:29:56 GMT -5
The link does not work for me from abroad. I was going to request the tests now to shorten the wait time once back. Looks I have my first "task" for Sunday morning now (provided all goes well and neither a cancelled flight nor Covid will interfere)
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TheOtherMe
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Post by TheOtherMe on Jan 19, 2022 8:19:25 GMT -5
The Iowa Governor is refusing to respond to reporters requesting information on if she had further testing since the negative test from when she first started feeling sick.
Reporters are now assuming she tested positive because yesterday she posted a photo of herself with a bunch of kids in her office. All of the kids were wearing masks. I have seen photos of her with people holding their masks. None of the sleuthing reporters can find a photo with her and people in her office where masks were worn.
Since it seems to a one of kind photo, their assumption is she tested positive.
It would be nice if she would just say so. Several legislators who were at the Condition of the State address have tested positive and have done press releases.
I guess GOP governors don't announce they have Covid.
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azucena
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Post by azucena on Jan 19, 2022 18:51:29 GMT -5
The link does not work for me from abroad. I was going to request the tests now to shorten the wait time once back. Looks I have my first "task" for Sunday morning now (provided all goes well and neither a cancelled flight nor Covid will interfere) Do you have a friend or neighbor who could order for you using your address? I ordered for elderly neighbors with no computers - with their permission of course.
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imamazed
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Post by imamazed on Jan 19, 2022 19:04:42 GMT -5
I ordered the test strips, but I finally found an appointment to be tested on Friday so I'm going with that.
I didn't have many symptoms on Monday except for a head cold, but yesterday and today I do. I feel awful.
I don't know where I could have gotten covid from if I do have it. DS was here but his latest pcr test showed negative. The only place I was at was the grocery store, other than the hospital but that was last week.
I am fully vaxxed with a booster, but I guess that doesn't matter anymore. So are DS and DDIL and they still got it.
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TheOtherMe
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Post by TheOtherMe on Jan 19, 2022 19:22:37 GMT -5
The link does not work for me from abroad. I was going to request the tests now to shorten the wait time once back. Looks I have my first "task" for Sunday morning now (provided all goes well and neither a cancelled flight nor Covid will interfere) Do you have a friend or neighbor who could order for you using your address? I ordered for elderly neighbors with no computers - with their permission of course. Yes, she does. ![](https://i239.photobucket.com/albums/ff155/JiminiChristmas/ymamsmiles/wink.png) They are ordered.
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wvugurl26
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Post by wvugurl26 on Jan 19, 2022 19:30:55 GMT -5
Unfortunately it seems to make zero difference with omicron if you are vaccinated, boosted or unvaccinated. I know several fully vaccinated friends who maybe could have got a booster last month have an awful time with omicron. Not in the hospital but in bed for days too weak to get up.
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haapai
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Post by haapai on Jan 19, 2022 19:55:56 GMT -5
I was told yesterday to get my booster but, as I have a series of 3 shots due to being on immunosuppressants and everywhere around me is swamped with people getting boosters, the doctor said good luck getting a 4th one. He wants me to try and find one but not expose myself 🤔 I think that you have a good doc. I have three jabs under my belt, all in pharmacies, and each time I felt like I was spending way too much time, way too close to too many people. When I got the third dose, the pharmacist surprised me by telling me to only wait 5 minutes in the rather small waiting area after receiving my dose. I stayed until another person took a seat, as far away from me as possible, but still within five feet.
Given where the numbers are now, and where they may be where you are, your doctor may be entirely correct in advising you to be extra-careful regarding the set-up where you get your next dose and forgoing it if the risk of infection exceeds the value of the protection that you would get.
I hope that you are able to locate a place that will administer a fourth dose to you in a safe manner but you might have to do some searching and asking in order to get that. It might be worth your while to investigate what your county health department is offering" In my neck of the woods, those are the folks with the most experience doing drive-up testing and vaccinations and the ones most likely to still be doing it despite winter and wind-chill factors.
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Opti
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Post by Opti on Jan 19, 2022 19:58:02 GMT -5
Unfortunately it seems to make zero difference with omicron if you are vaccinated, boosted or unvaccinated. I know several fully vaccinated friends who maybe could have got a booster last month have an awful time with omicron. Not in the hospital but in bed for days too weak to get up. Since the report from Israel on their research I think I am going back to more social distancing and masks.
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thyme4change
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Post by thyme4change on Jan 19, 2022 20:25:08 GMT -5
Unfortunately it seems to make zero difference with omicron if you are vaccinated, boosted or unvaccinated. I know several fully vaccinated friends who maybe could have got a booster last month have an awful time with omicron. Not in the hospital but in bed for days too weak to get up. I don't think the difference between the vaxxed and unvaxx is zero. I think there is a significant statistical difference. I know the data is still coming in, but the preliminary stats are supporting a difference.
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NomoreDramaQ1015
Community Leader
Joined: Dec 20, 2010 14:26:32 GMT -5
Posts: 47,504
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Post by NomoreDramaQ1015 on Jan 19, 2022 21:18:08 GMT -5
People need to remember the point of vaccinating and boosters is to keep you out of the hospital and also alive.
That goal has been achieved. Even without a booster you're still 70%+ less likely to have serious illness which is remarkable for any vaccine but especially for one so novel.Unvaccinated you're SOL even with Omicron being a more "mild" strain. Also remember it hasn't out competed delta just yet.
Better to be knocked on your ass for two weeks than dead.
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