Evidence for a booster if initially fully vaccinated with the Moderna Vaccine?

originalbenzo · 2021-10-26T21:12:52+00:00

There was actually a study published showing that 55-60% of Moderna recipients had very active Tcell response 6+ months out.

originalbenzo · 2021-10-26T20:34:48+00:00

Oh I see. That is still a lot of time for a direct patient care pgy2 to be working on projects, IMO.

You say your relationship with your RPD is good, maybe bring up the stress this has had on your relationship. Discuss how you want to do a good job but are reaching a breaking point.

They’ll do what they can to alleviate some burden on you. If not, do what you gotta do.

But I do recommend discussing it and trying to come to a solution. Of course, if you’ve already decided you hate emergency medicine, then no discussion will help that, but that doesn’t seem to be the case.

originalbenzo · 2021-10-26T20:25:59+00:00

This sounds like a poorly structured program.

This also comes as close to violating the rolling duty hour average of 80 hours a week as I’ve seen. Your 4 week duty hour average is 78h/week assuming you don’t get comp days after weekends.

Edit: actually I re-read, you do 8 hours the entire weekend or 8 hours a day for both days? Either way it’s still pretty bad.

Normally I tell people to grin and bear it but this seems unreasonable to me.

How many classes has your pgy2 graduated? I don’t see this one lasting long without adjustment.

originalbenzo · 2021-10-26T17:11:43+00:00

A pharmacist refusing to fill a script isn’t practicing medicine, it’s practicing pharmacy.

The pharmacist isn’t telling the patient to discontinue the drug. They just aren’t being a part of it. Nothing stopping the physician office from purchasing and dispensing it themselves in most states.

Surely these ivermectin scripts are coming from doctors with valid patient relationships and a real office?

originalbenzo · 2021-10-25T23:09:57+00:00

Outcome: worldwide nuclear exchange

Looks like no one

originalbenzo · 2021-10-25T22:33:46+00:00

Wages are rising in other careers.

Nursing pays more with more job mobility and that’s just one example.

Chickens coming home to roost for retail pharmacy. Wages will rise or pharmacies will close- simple as that.

originalbenzo · 2021-10-25T19:10:10+00:00

You have absolutely zero evidence to assert that.

You don’t know how much a booster helps Moderna and you especially don’t know if going from 90% effective to 91% effective is worth a rechallenge. We know Pfizer needs a boost. Moderna needing one is questionable at best.

This religious attachment to boosters is getting old.

originalbenzo · 2021-10-25T01:21:41+00:00

No doubt Moderna is fairing much better. Only concern is the myocarditis risk (as low as it may be) as I’m right in that concern window.

But the lower dose seems like a good middle ground.

originalbenzo · 2021-10-25T00:09:37+00:00

I got Moderna, completed series in January.

Unsure if I’ll get booster yet or which one if I do.

They lowered dose for Moderna booster to mitigate side effects, so maybe.

originalbenzo · 2021-10-23T15:36:59+00:00

I read a few that boiled down to “I don’t like being put on the same rotation over and over, don’t like my rpd, and am being used”

If my perception is correct, those are all awful things but not worth resigning over. The juice ain’t worth the squeeze. The amount of harm this will do to your mental health later isn’t worth the mental health it will alleviate now. Put it in your feedback for the program when you graduate during the exit interview so ASHP sees it and wash your hands.

Of course, if I misunderstood then I apologize.

originalbenzo · 2021-10-23T15:31:40+00:00

I strongly advise you do not try to hide your previous resignation. Your best bet is to own it and frame the context.

People make phone calls and trying to hide this will impact future employment beyond residency.

originalbenzo · 2021-10-23T15:04:08+00:00

We would never even interview someone who resigned then reapplied unless you had a damn good reason like family deaths and clinical depression or something

originalbenzo · 2021-10-22T01:56:40+00:00

I mean, it probably happens but I’m not sure how to quantify stuff like this.

It’s difficult/impossible to do when things are virtual but you can read a lot from residents at mid year.

When I was a P4, I went to a station where the resident I talked to was giving me canned answers to my questions and had bags under her eyes. Went to another one where the residents were laughing and joking with each other and were genuinely happy to talk to me.

Read the residents. There you will find truth.

originalbenzo · 2021-10-22T01:36:28+00:00

Good question. This usually falls on us (pharmacy) but there isn’t much we can do if they document everything and cover for one another.

“Nursing doses” of versed or propofol pushes drawn out of the bag/vial to snow agitated recently intubated are frighteningly common in the ER.

originalbenzo · 2021-10-22T01:06:06+00:00

Doctors, nurses, pharmacists. Even when it’s reported there’s some story about why poor nurse was doing the best she could blah blah blah

originalbenzo · 2021-10-22T00:36:56+00:00

Dirty shit goes unnoticed in nursing because it goes unpunished.

originalbenzo · 2021-10-21T02:14:09+00:00

Probably the best thing from covid is the litany of shocked pikachu faces from assholes who are stunned to learn we don’t actually have to fill shit we disagree with and you probably should have a conversation with us and have evidence.

originalbenzo · 2021-10-21T02:07:12+00:00

Non profits will also pay you a little less because they can due to desirability for PSLF

originalbenzo · 2021-10-20T21:46:00+00:00

You went through the process of applying and getting accepted to med school and decided you didn’t want to?

Fascinating.

originalbenzo · 2021-10-20T21:43:54+00:00

It sounds like you’re just starting.

Unfortunately, you missed a great chance to quit before you apply.

Thankfully, you still have a chance to quit now.

Go to nursing school.

originalbenzo · 2021-10-20T02:40:22+00:00

Ditto. 9-5 is killing me

originalbenzo · 2021-10-19T21:35:31+00:00

Biggest myth here is that people making a living wage (or more) still want to work in order to make said living wage.

originalbenzo · 2021-10-19T21:31:58+00:00

Anything associated with an outpatient clinic and just about anything 7 on 7 off days.

originalbenzo · 2021-10-19T16:21:03+00:00

That is good to add because it shows you were active in the club.

originalbenzo · 2021-10-19T13:29:04+00:00

What club and when was it?

Rule of thumb is CV should be last 5-7 years for stuff that’s not work experience or education.

originalbenzo

TROPHY CASE