General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsER doctor's observations - differences in patients based on vax status
Twitter thread..Ive seen a lot of Covid in the ER recently.
With so many people getting infected recently, some folks may wonder whats the point of getting vaccinated at all?
And is there really any value to a booster dose if Ive had two Pfizer/Moderna or a shot of J&J?
My observations: 🧵
============
Most patients Ive seen that had 2 doses of Pfizer/Moderna still had mild symptoms, but more than those who had received a third dose.
More fatigued. More fever. More coughing. A little more miserable overall.
But no shortness of breath. No difficulty breathing.
Mostly fine.
==========
Every patient Ive seen with Covid thats had a 3rd booster dose has had mild symptoms.
By mild I mean mostly sore throat. Lots of sore throat. Also some fatigue, maybe some muscle pain.
No difficulty breathing. No shortness of breath.
All a little uncomfortable, but fine.
======%
Most patients Ive seen that had one dose of J&J and had Covid were worse overall. Felt horrible. Fever for a few days (or more).
Weak, tired. Some shortness of breath and cough.
But not one needing hospitalization. Not one needing oxygen.
Not great. But not life-threatening.
====%%%%====
And almost every single patient that Ive taken care of that needed to be admitted for Covid has been unvaccinated.
Every one with profound shortness of breath. Every one whose oxygen dropped when they walked. Every one needing oxygen to breath regularly.
Link to tweet
Grasswire2
(13,571 posts)And those who've had two J&J will do better than just one.
Mr.Bill
(24,310 posts)to go to the ER. He doesn't see the ones who don't even feel that bad or have no symptoms at all.
beaglelover
(3,487 posts)I would never think of going to an ER for a sore throat, or fatigue. No wonder the ERs are so crowded if people are going there for such minor illness.
BlackSkimmer
(51,308 posts)This makes no sense.
I had Covid in August 2020. Fever spiked nightly to 104, body aches as though beaten with a bat, chills, sweats. Never been that sick in my life.
I never had breathing difficult though terrified I would, and I never went to the ER.
SergeStorms
(19,204 posts)There is an extreme lack of testing available at the moment.
It's a known fact that people who've been vaccinated have far more fear of contracting COVID than people who are unvaccinated. Those who take the most precautions are far more afraid of getting COVID. Of course the anti-vaxxers aren't scared of it because it's all a hoax, right? They're the numbskulls who are clogging up the hospitals and dying now.
Counterintuitive, right? That's the United States we live in right now. Makes absolutely no sense to me either.
BlackSkimmer
(51,308 posts)This is really inexplicable.
oldsoftie
(12,575 posts)Rabrrrrrr
(58,350 posts)assholes talk a mean game about not being afraid to die and Covid is just a hoax, "Gotta live our lives, man!" and "stop being a snowflake" but as soon as they get sick, they go clog up the hospitals for all that fake-science medicine they were shitting on a few hours before and getting angry about how the goddamn medical fascists can't make their Covid go away.
Or, also we've seen around here, the shitstains that go to the hospital because they have Covid but when the doctor tells them it's Covid, they get angry and belligerent - sometimes even a bit violent - because there's no way they could have Covid, it's something else.
I'm just so at the point now that hospitals should have a simple first step entry process: "Are you vaccinated? No? Then we have a tent in the front yard with a big ol' warm fire and a giant screen TV playing It's A Wonderful Life on loop and all the chocolate you want to keep you comfy while you die, while we reserve the medicine in here for people who 'believe' in it. You made your choice months ago. Personal responsibility, rule of law, blah blah blah, etc. etc. etc. Oh, and there's a phone in there you can use to call your family and tell them what a fucking dumb piece of shit you are and that they can come get your body in six days."
Rhiannon12866
(205,665 posts)He was treating a 37-year-old man hospitalized with Covid, had a wife and two kids. Of course the patient asked to be vaccinated, but the doctor said it was too late. And his wife and family didn't visit since masks were obviously required and the wife refused. But she was called when her husband was dying, but was removed from the hospital when she refuse again to wear a mask. So the doctor went to the parking lot to tell her that her husband was gone and the doctor had remained with him when he passed away. And that's when she lost it, called him "a murderer" because he hadn't given the husband Ivermectin, I think it was, lashed out and struck him in the face, knocking him down and breaking his nose. That was the doctor's story and he's giving up medicine, that was finally it for him.
Rabrrrrrr
(58,350 posts)and sadly some of the loony crystals-and-granola left, too, refusing masks and vaccines; though I've not heard of any of them getting violent or belligerent.
It's heart breaking how many medical folks are quitting; and the number of the ones who haven't quit who are holding on by a thread from overwork, over worry, abuse from patients and family, and just being really goddamned tired.
unblock
(52,274 posts)Many people still use the er as primary care, and many people go to the er simply because they're afraid it might be something worse than it is.
beaglelover
(3,487 posts)Go to a damn urgent care or call your PCP. Don't go to the ER because you have a sore throat! SMDH!
unblock
(52,274 posts)Seeing a pcp first might mean one more medical bill because of our messed up medical financing system, so some people skip that step.
Pcps run the range from excellent to useless, so again, some may skip that step.
Plenty of people don't even have a pcp, especially younger people who think they're immortal. This is more men than women because an ob/gyn often doubles as a pcp in practice. But then there are women who don't even have an ob/gyn....
Finally, people going to the er unnecessarily doesn't clog up the hospital as a whole, only the er itself. The er is well trained in triage, so hopefully the right cases get handled first. People who don't need to be admitted don't get admitted. In the current crisis, it's the overcrowded icu that's the real problem.
Still, point taken, the er doesn't not need to be overburdened with cases that a pcp could easily handle. Better health financing policy and education would help with this.
greenjar_01
(6,477 posts)This whole "don't go to the ER" thing doesn't jibe with the "Holy shit you're gonna die" thing. We've absolutely scared the shit out of people for two years, then they pull a positive antigen and freak the fuck out. And then they start getting what they would generally interpret as moderate chest congestion for any cold or flu prior to 2019, but we've been telling them they're going to go into goddamn cardiac arrest and their lungs will fail for the last two years, so they think they're going into cardiac arrest and their lungs are failing.
The "guidance" from my hospital system says to treat "mild shortness of breath" at home, while to go to the ER for "trouble breathing." How the fuck is the average person supposed to interpret the difference between those two states of affairs, especially if they're layering a panic attack over the mild shortness of breath?
It's really easy for somebody who hasn't had COVID and who is sitting on a message board to say, "Oh, if you just have cold or flu symptoms, treat them at home. Don't go to the ER!" People are experiencing these things in their bodies, not as casual observers, and they're doing so in the context of an absolutely relentless saturation of fear tropes in the public sphere.
Jimbo S
(2,958 posts)A lot of people have a mindset to go to ER for anything, including a cold or flu. For private business that insures their employees, that drives them crazy since they are the ones who end up paying the bills.
intheflow
(28,484 posts)felt sick wasnt during a pandemic where 3/4 of a million fellow citizens died horrible deaths.
uponit7771
(90,347 posts)NurseJackie
(42,862 posts)FailureToCommunicate
(14,018 posts)NurseJackie
(42,862 posts)I'd recently seen someone else write the same thing, and I thought it was clever (and appropriate).
sarchasm
(1,012 posts)I said, "Well that must make you a wolf then, right?"
When they responded yes, I said "Well, then Eat Me!"
NurseJackie
(42,862 posts)uponit7771
(90,347 posts)NurseJackie
(42,862 posts)Have a safe and healthy New Year!
uponit7771
(90,347 posts)deelee
(41 posts)I really don't understand the lack of media coverage of the importance of and benefits of the vaccines. it's well past time for the pussyfooting to placate the anti-vaxxing Trumpsters. Let's get a vaccine passport. Electronic and plastic wallet sized card - with hologram. Only those with the cards can dine in, can fly, can shop in stores, can attend concerts/sports.
Those of us vaccinated - and especially boosted, are looking at nothing more than a cold, and perhaps a slight flu. Why are we cow towing and living like this when we shouldn't have to? I'm really sick of it.
FakeNoose
(32,679 posts)... but can't (or won't) get tested. Thanks I just sent this to my sister.
Savoir Faire
(10 posts)And, I don't know that I had Covid. But, I had something starting last weekend, (Fatigue earlier than that) but I attributed that to eyestrain and a long commute. However, starting Christmas day I had a headache (severe for me as I don't often get them). Bodyache (which I attributed to not getting out of bed. Nasal and chest congestion which subsided to runny nose and cough. Pretty much where I am now. Though it has subsided considerably over the day. I am fully vaccinated and boostered. But, there is no testing in Santa Cruz right now.
gopiscrap
(23,762 posts)left-of-center2012
(34,195 posts)It takes me 3 months to get in when I call for an appointment.
As for the local urgent care facilities those which take my insurance receive very poor ratings from previous patients.
I can understand those who would go to an emergency room when they have a very severe sore throat and fear it might be something worse.
You know that old saying "Walk a mile in their shoes".
CTyankee
(63,912 posts)"Wait in the car and we'll call you" isn't the advice I want to hear when all I want is my vaccine shot.
I went to my Stop and Shop pharmacy and got every shot I needed.
Response to Demovictory9 (Original post)
Name removed Message auto-removed
Hav
(5,969 posts)Seriously, try to find help for your issues and don't bother us.
PJMcK
(22,038 posts)I think youve stumbled into the wrong place.
Democratic Underground is a fact-based website.
Take your bullshit elsewhere.
oldsoftie
(12,575 posts)PJMcK
(22,038 posts)It was titled BULLSHIT. It made the unfounded claim that the deaths were due to the vaccines. Totally right wing garbage.
You didnt miss much! Have a happy new year.
oldsoftie
(12,575 posts)tiredtoo
(2,949 posts)The remaining unvaccinated will consider it fake news. Unfortunately we are going to have to do what is needed to save ourselves and let them just die off.
wryter2000
(46,074 posts)The way this doctor describes symptoms for a boosted patient (3 shots) it doesn't sound as if they need to go to an emergency department. They could possibly be handled via a telephone visit. Am I wrong?
If I had those symptoms, I sure wouldn't head to the hospital. I'd probably have instacart get me some things from a pharmacy.
To others up-thread who discuss difficulty getting a pcp appointment and cost, etc., let me explain I have Kaiser. If I can't get my pcp on the phone, I for sure can get an advice nurse pretty much immediately or another MD. Also, our urgent care clinic is excellent, but I wouldn't want to go there if I didn't have to. In general, I don't want to go to the hospital during a covid spike.
Aussie105
(5,412 posts)She doesn't want to work there anymore.
Don't know why - yes I do.
wryter2000
(46,074 posts)I retired from a large medical center. I was a secretary in the legal department, situated in one of the medical office buildings, not in the hospital. I'm still glad I don't have to go there for work. I do go there for medical care.
Burma Jones
(11,760 posts)Because Anecdotal Evidence is what some people prefer
Got the J&J in March and a Moderna Booster in late October.
Had a runny nose, elevated heart rate (not serious), slight headache and slight sore throat Sunday, no fever. I was fatigued.
Took a home test - came out positive.
Had a very stuffy nose Monday, slight sore throat, minor cough, no fever. Still fatigued, slept about 14 hours.
Less stuffy nose, no sore throat, a little sneezing, no fever on Tuesday.
Am asymptomatic today.
I did email my PCP on Monday and she offered to send in a request for me to receive Monoclonal Antibodies but she also said it appeared as though I didn't need them. I said sure go ahead and send in the request in case this gets worse. The folks who do the infusion called, and determined since I wasn't all that sick, I would not receive the infusion due to them being in short supply. And, now, I'm feeling fine.
Aussie105
(5,412 posts)I find getting good and angry, and venting - even if just on DU - gets the adrenalin flowing and improves breathing.
Highly recommended!
Not in public though, some people are unpredictable, stupid, potentially violent and possibly armed.
GB_RN
(2,368 posts)But I'm not sure he's cheering.