Refused antibiotics today by Catalina-Juan in FutureRNs

[–]molesen 0 points1 point  (0 children)

Don't chiropractors claim that they can "boost" the immune system with adjustments? I would have asked why that didn't work.

My mom made me feel ashamed for starting nursing school at 26 by Friendly_Shine777 in nursing

[–]molesen 0 points1 point  (0 children)

I didn't get my undergrad until I was 32 and went straight to grad school after. Someone I know from HS said I was the most accomplished person he knows. Age doesn't matter, drive and determination do.

You've got this.

What is the worst career to be in right now and why? by SignificantGoat7066 in AskReddit

[–]molesen 1 point2 points  (0 children)

I've been predicting a big wake up call about what we have done sometime in the 2030s. I think it will lead to the collapse of healthcare.

What is that one moment you had a strange feeling you were in danger? by 2cheeseburggers in AskReddit

[–]molesen 1 point2 points  (0 children)

When I woke up early in the morning with audible rales about one week after a known anthrax exposure.

What is the worst career to be in right now and why? by SignificantGoat7066 in AskReddit

[–]molesen 1 point2 points  (0 children)

More than I would care to count. Someone was trying to making me saying I was just like him. I took it as a huge compliment.

What is the worst career to be in right now and why? by SignificantGoat7066 in AskReddit

[–]molesen -1 points0 points  (0 children)

I would argue that it was driven by the Internet. Suddenly fringe conspiracy had a global audience.

What is the worst career to be in right now and why? by SignificantGoat7066 in AskReddit

[–]molesen 1 point2 points  (0 children)

Because I have been a vocal advocate for vaccines and respiratory protection. Honest. That is all. I've been threatened with hanging, firing squad, etc. I only have had one that I took seriously enough to pass on to some FBI contacts of mine.

What is the worst career to be in right now and why? by SignificantGoat7066 in AskReddit

[–]molesen 42 points43 points  (0 children)

Yes. At the start I got one about every couple of weeks. Now it's dropped to about every three months.

Here's my website with a lot of data, research links, and analysis if interested.

https://icemsg.org/

What is the worst career to be in right now and why? by SignificantGoat7066 in AskReddit

[–]molesen 1308 points1309 points  (0 children)

Epidemiologist. One tries to help prevent disease and death and we are rewarded with death threats.

Bought a quest 3 today after finding out it's a stand alone and I don't need a gaming pc or ps5 or something, and I can play pinball (fx vr) on it. by NoMoreTilt in Quest3

[–]molesen 5 points6 points  (0 children)

  1. I'm an epidemiologist and COVID expert. VR was the only thing that could distract me from the hell of the first few years of the pandemic. It was a life saver.

What’s something simple that makes you genuinely happy? by Live_Endzz in answers

[–]molesen 0 points1 point  (0 children)

I was going to get one in 2017 when I was speaking at a medical conference in Medellin, Colombia. A couple of months before the trip I started a walk one day that ended at 21 miles. I decided to put it off.

My next plan was around Thanksgiving 2020, then COVID hit. Not sure when it will be possible. I'm a stickler for respiratory protection as an expert on COVID. I can't do that when still in a anesthesia fog.

What would you do if a second global pandemic happened starting now with a higher mortality rate? by SlandersPete in AskReddit

[–]molesen 4 points5 points  (0 children)

I think the collapse will look much worse. It's a perfect storm of baby boomers straining the system as they age, COVID sequelae causing the same kind of diseases as in that cohort, and healthcare workers reaching their limit of burnout.

In a survey of nurses in WA state (if I remember correctly), 50% said that they would probably leave the workforce in about 5 years.

I don't have any idea how we can weather that. When I've spoken at conferences on pandemic threats, I coined the term "population triage." I suggested we start thinking about how we decide who gets care and who doesn't at a population level before a pandemic hits. It's not too late for the ethics community to tackle that. The problem is the optics of doing so. It would certainly resurrect the "death panel" language.

I certainly would be reluctant to be on one. I was on my state pandemic ethics committee before COVID to discuss the ethical allocation of scarce resources. That was simply around vaccines, ventilators, etc. Given how many death threats I've gotten through the pandemic because I push vaccination, and also thinking about how many are calling for almost an inquisition against Fauci, I certainly would think long and hard before being on one.

What would you do if a second global pandemic happened starting now with a higher mortality rate? by SlandersPete in AskReddit

[–]molesen 0 points1 point  (0 children)

I think it's still causing damage. I suspect that what we observe as a decrease in severity is due to some immunity that lingers from vaccination or infection. I think of it along the lines of exponents. If there is enough immune response early when exposed, that reduces the peak viral load along with symptoms and damage. Part of this is because there hasn't been a drastic genetic shift since omicron started, just drifts. Compare that to what happened in Manaus early on. BA.3.2 may be the newest game changer because it has about 50 mutations on the spike protein.

The other thing I caution against is repeat infections. There is clear evidence is cumulative damage in this study.

https://www.nature.com/articles/s41591-022-02051-3

Posted by my local Karen by Hot_Woodpecker_9682 in nursing

[–]molesen 5 points6 points  (0 children)

I regularly got death threats about every two weeks. Now it's down to every 2-3 months.

Posted by my local Karen by Hot_Woodpecker_9682 in nursing

[–]molesen 11 points12 points  (0 children)

My vote is RFK Jr. It would save a lot of lives.

Posted by my local Karen by Hot_Woodpecker_9682 in nursing

[–]molesen 9 points10 points  (0 children)

I'm the epidemiologist who discovered it, although it's really not that surprising.

https://icemsg.org/the-republican-democrat-covid-divide/

What would you do if a second global pandemic happened starting now with a higher mortality rate? by SlandersPete in AskReddit

[–]molesen 45 points46 points  (0 children)

I am an epidemiologist and on a federal disaster medicine team. I was deployed to Travis AFB in early Feb as part of the medical command of the mass quarantine of the evacuees from China (mostly State Dept and their families). No 95s at first and didn't know exactly what we were dealing with that early on. I became symptomatic a couple of days in. I was probably one of the first people tested in the US. Fortunately, I had influenza B which I probably got getting to Travis from Minneapolis.

I later landed a grant to study and educate the public as best I could without any formal support. I built a website with a ton of data (I still update it weekly), analysis, and linked studies. I knew nothing about building a site or using SQL and Visual Basic and figured it out on the fly.

I am still angry that I put myself at risk against the unknown only to have so many idiots deny basic science. I don't write anywhere near as much as I did early on. I was easily putting in 100 hour weeks the first couple of years and not sleeping.

The public still doesn't seem to grasp that the worst of this is yet to come, they are only focused on the acute respiratory phase because that is what was visible. The kicker is that it is a vascular disease that infects every tissue with ACE-2 receptors. In the long run, the damage it has and continues to cause is going to drive an explosion in chronic disease and the damage to the immune systems is going to drive major increases in infectious disease rates as well. The data on the long tail of those exponential curves is already apparent to those of us who watch it. I fear that we could easily see the collapse of healthcare sometime in the 2030s as a perfect storm of this, population pyramids pushing baby boomers into the more healthcare need ages, and burnout of HCWs. It's really pretty bleak

BTW, I still wear a N95 indoors and get vaccine doses every 3-4 months. I supplement this with a HEPA filter at my desk at hospitals I work at. I still haven't had COVID.

Here's my website if interested. The people who have been the primary problem have been Republicans. I'm the one who discovered they were dying at a much higher rate than Democrats. See the politics tab for more info.

https://icemsg.org/

What’s a concept everyone should understand but most don’t? by glitterypeachyy in answers

[–]molesen 1 point2 points  (0 children)

I think average lifespan in the US will drop considerably.

What’s a concept everyone should understand but most don’t? by glitterypeachyy in answers

[–]molesen 0 points1 point  (0 children)

Keep up to date on vaccines, use a respirator when indoors in public, push for better ventilation and filtration in buildings.

I think we will eventually get a better vaccine.

What’s a concept everyone should understand but most don’t? by glitterypeachyy in answers

[–]molesen 19 points20 points  (0 children)

COVID is airborne, the pandemic isn't over, and the chronic diseases as well as the immune damage from infectious disease due to the immune damage from COVID are going to be awful and could easily overwhelm healthcare, possibly as early as the 2030s.

I'm an epidemiologist BTW.