As a retired ID physician, I was enthralled and excited to hear the presentation and the clinical banter, but very happy that I no longer have to make the heavy decisions. Good work and continued success with all efforts. The presentation was great, as always by all concerned. Thanks to all and best to all MDs and HCW in India.
As a lay person, I've been watching the Rounds for sometime now. Many thanks for providing this information to the public as well as to other health professionals.
Thank you so much for addressing this issue. Your knowlegde need to be shared with Immunosupressed patients that in far to many places have a false sence of protection after being vaccinated and not aware of the lower immune responce.
If you don't mind, I want make a note about vaccines. I don't get why a pharma co. gets to own a patent for which they have been subsidized in formulating. Where is the justice in that? The taxpayers help pay for the research and then get to pay bigtime for the vaccines to save their lives. Doesn't anyone else see how unfair this all is?
TY, as a diagnosed Ankylosis Hyperostosis (DISH) spinal reconstruction patient, with 5 surgery hx, I would like to remind you, gently, that your “fascination” is our misery! I had the “wild type” suspected in March 2020, on the West Coast US, I have had lingering “long COVID-19” multiple symptoms. I had first Pfizer shot in March 2021 from OHSU, had 8 days of hellish symptoms again, and have refused 2nd shot! No PCR, no antibody tests have been done as doctors (including an infectious disease specialist) say they are and have been unreliable. To say the least, I understand why some people are scared about the vaccines and the fear of COVID-19. It’s a conundrum!
The idea that symptomatic immunosuppressed patients aren't clearing the virus and can be hosts for developing variants is rather terrifying. If those patients are out in the community without awareness of their status, they are absolutely vectors of infection. Really glad I am leaving clinical practice. This is just so challenging.
We need the Defence Production Act embargo to be lifted allowing vaccine components to be exported to India so that they can manufacture vaccines and deliver them to Africa.
@@yeout4386 All healthcare workers and staff need to vaccinated. It's insane they have a choice. All visitors to hospitals need to show proof of vaccination as well. people are losing patience with antivaxers. A year from now the unvaccinated will not be included in society norms.
Can anybody please explain what 36 fold decrease mean? I take Ocrevus and received first dose of AstraZeneca yesterday and nobody is able to tell me in plain language how much protection i will have. What is 36 fold decrease from 60%? I’m so frustrated with this lack of clear messaging...
If one has an adverse reaction after the first Pfizer vaccine (i.e., temporary face numbness), is one more likely to have the same reaction - and possibly to a greater extent - after the second dose? Or can one have a reaction after the first dose, but then not after the second dose?
As a pt of dermatomyositis and trying to keep my immune system from attacking my muscles and skin why would I want to excite my immune response? I'm taking meds to stop it.
I want to take a vaccine but don't want to start new with my dermatomyositis as it is almost undercontrol. I have taken prinisone and azathioprine for about a year now
This presentation is so helpful. Unfortunately, I have been taking Fingolimod for several years, so I worry that my vaccine may not have protected me (or others from me!). I am having trouble getting my doctor to understand the information abut testing for the spike IGG protein presented by Dr. Schwartz, though. The infectious disease specialist in my practice says there is no CDC-approved test for the vaccine-related protein, just for the virus spike protein. Is that true? I am in the SF Bay area-- can I go to UCSF and pay out of pocket? Feeling nervous.
The vaccine causes you (hopefully) produce antibodies to the virus spike protein. There are approved tests for this. In the SF Bay area, you could join One Medical for a free month trial and get the Quest or LabCorp test for this. Just make sure to ask for the antibody test to the spike protein. Unless your doctor outside of UCSF orders it from UCSF, I think it would be difficult to get it by paying out of pocket. It took my oncologist over 2 weeks to figure out how to order it, and she is at UCSF.
Sorry if it was in there and I missed it, but did any of the research indicate any effects on vaccine efficacy from Plaquenil or generic HCQ at doses commonly taken to manage SLE?
Feiend of mine has has blood clots and major damage from moderna shot Been hospitalized 3 times.can only walk with a Walker. Will never be the same . Been in rehab and will get out and come home Tuesday after beein there 3 weeks..
Do you feel that if you have been off of CellCept and Prednizone for a year after taking it for over a year that the Covid-19 MRNA vaccine would develop anti-body response or not?
Would steroid or rituximab destroy B cells that are secreting anti-COVID-19 spike antibodies? That would cause vaccination failure in the patients with lymphomas and autoimmune diseases
My totally amateur take on Africa is this. Remember when we asked the same question of India? If India does not happen in Africa, then why won't it? I would say one is that overall there is still (barely) less obesity and metabolic disease there, but that is at best a semi-educated guess on my part. Also, possibly, vitamin D. Again, another guess. And, yes, youth. However, to go back to my original point, it is possible that it just has not hit there, yet. It's possible the virus has not adapted itself for maximum spread, as it did in India, as it does to every population.
How can a 1% absolute risk reduction vaccin on a 90% population WHO vaccination safe the westen world? What will be my long term chronical disease absolute risk reduction? The medical industrial complex will love this business model.
What is the end game? Will we ever get to a point where the "experts" try to give us some hope? Or are we going to be doom and gloom forever? I'm getting really tired of the negativity from the experts.
I thought this was a very informative review, and not at all gloom and doom….. there are definitely problems, but that’s just reality. I think in the US, we have a very positive outlook as we continue to get the population vaccinated. It is very important to understand that there are segments of the population that will be relying on the rest of us to be vaccinated to get the infections in the population down, because they can’t protect themselves due to health problems they are dealing with. Recognizing that despite your frustration, you still took the time to watch and comment though, I think that the more people that understand the complexities of dealing with a transmissible disease, the better we can educate those that don’t have the patience to absorb the information from the experts that study these things.
No doom and gloom in this presentation. There is a lot of hope messaged here. Repeatedly. It is done using science and scientific jargon, so perhaps that is confounding you. If you want this all to go away and have it be 2019 again, then you don't understand what is going on. Hang on; things are improving in parts of the globe. Research is ongoing too.
As a retired ID physician, I was enthralled and excited to hear the presentation and the clinical banter, but very happy that I no longer have to make the heavy decisions. Good work and continued success with all efforts. The presentation was great, as always by all concerned. Thanks to all and best to all MDs and HCW in India.
As a lay person, I've been watching the Rounds for sometime now. Many thanks for providing this information to the public as well as to other health professionals.
Thank you so much for addressing this issue. Your knowlegde need to be shared with Immunosupressed patients that in far to many places have a false sence of protection after being vaccinated and not aware of the lower immune responce.
This was so informative! Thank you! Could this panel do an update as to what has been learned since May?
If you don't mind, I want make a note about vaccines. I don't get why a pharma co. gets to own a patent for which they have been subsidized in formulating. Where is the justice in that? The taxpayers help pay for the research and then get to pay bigtime for the vaccines to save their lives. Doesn't anyone else see how unfair this all is?
Thank you, I really enjoyed listening to the presentation. Please continue to upload your information.
TY, as a diagnosed Ankylosis Hyperostosis (DISH) spinal reconstruction patient, with 5 surgery hx, I would like to remind you, gently, that your “fascination” is our misery! I had the “wild type” suspected in March 2020, on the West Coast US, I have had lingering “long COVID-19” multiple symptoms. I had first Pfizer shot in March 2021 from OHSU, had 8 days of hellish symptoms again, and have refused 2nd shot! No PCR, no antibody tests have been done as doctors (including an infectious disease specialist) say they are and have been unreliable. To say the least, I understand why some people are scared about the vaccines and the fear of COVID-19. It’s a conundrum!
The idea that symptomatic immunosuppressed patients aren't clearing the virus and can be hosts for developing variants is rather terrifying. If those patients are out in the community without awareness of their status, they are absolutely vectors of infection. Really glad I am leaving clinical practice. This is just so challenging.
Asymptomatic spread is a MYTH.
Note: "compulsory licensing" is not the same as waiver or suspension of patent (monopoly) right or license ...
We need the Defence Production Act embargo to be lifted allowing vaccine components to be exported to India so that they can manufacture vaccines and deliver them to Africa.
Thank you , appreciate your time.
Regarding the advice to immunocompromised patients to distance from non vaccinated people, does this include nurses who refuse to get vaccinated, too?
Rhetorical ? Yes? Or had you really not formed an opinion?
unfortunatly yes but as a patient you do not get that choice
@@yeout4386 All healthcare workers and staff need to vaccinated. It's insane they have a choice. All visitors to hospitals need to show proof of vaccination as well. people are losing patience with antivaxers. A year from now the unvaccinated will not be included in society norms.
Have any studies been done about whether common OTC allergy drugs like antihistamine or steroid nasal sprays affect vaccine response?
So, do I go back to double masking in public?
Thank you so much for sharing with us.
The U.K. success story proves you were right, sir. Bravo. Great call.
Ha, George needs to recognize your prescient wisdom.
Can anybody please explain what 36 fold decrease mean? I take Ocrevus and received first dose of AstraZeneca yesterday and nobody is able to tell me in plain language how much protection i will have. What is 36 fold decrease from 60%? I’m so frustrated with this lack of clear messaging...
If one has an adverse reaction after the first Pfizer vaccine (i.e., temporary face numbness), is one more likely to have the same reaction - and possibly to a greater extent - after the second dose? Or can one have a reaction after the first dose, but then not after the second dose?
I want to know about this too! I had an immediate reaction after first pfizer jab. No one knows what to tell us? Where's the data on folks like us?
Likely not predictable. So would follow Reccs, unless you anaphylaxed or died from the first. Keep it Simple, and Suck it up.
@@MrDmarvin Agree..... so what you had a reaction? At least you are protected. Be grateful. Get the second as directed.
As a pt of dermatomyositis and trying to keep my immune system from attacking my muscles and skin why would I want to excite my immune response? I'm taking meds to stop it.
I want to take a vaccine but don't want to start new with my dermatomyositis as it is almost undercontrol. I have taken prinisone and azathioprine for about a year now
How about passive immunity in immunocompromised patients? Analogous to periodic IVIG ...
This presentation is so helpful. Unfortunately, I have been taking Fingolimod for several years, so I worry that my vaccine may not have protected me (or others from me!). I am having trouble getting my doctor to understand the information abut testing for the spike IGG protein presented by Dr. Schwartz, though. The infectious disease specialist in my practice says there is no CDC-approved test for the vaccine-related protein, just for the virus spike protein. Is that true? I am in the SF Bay area-- can I go to UCSF and pay out of pocket? Feeling nervous.
The vaccine causes you (hopefully) produce antibodies to the virus spike protein. There are approved tests for this. In the SF Bay area, you could join One Medical for a free month trial and get the Quest or LabCorp test for this. Just make sure to ask for the antibody test to the spike protein. Unless your doctor outside of UCSF orders it from UCSF, I think it would be difficult to get it by paying out of pocket. It took my oncologist over 2 weeks to figure out how to order it, and she is at UCSF.
Sorry if it was in there and I missed it, but did any of the research indicate any effects on vaccine efficacy from Plaquenil or generic HCQ at doses commonly taken to manage SLE?
Feiend of mine has has blood clots and major damage from moderna shot
Been hospitalized 3 times.can only walk with a Walker. Will never be the same . Been in rehab and will get out and come home Tuesday after beein there 3 weeks..
7:30 that was done by then Health Minister José Serra with the Brazilian Diplomacy.
Do you feel that if you have been off of CellCept and Prednizone for a year after taking it for over a year that the Covid-19 MRNA vaccine would develop anti-body response or not?
You have higher likelihood of developing antibodies.
@@davidbluhm1867 we took an antibody test this week and it does confirm your theory! Thank you!
😷keep wearing your mask😷
Would steroid or rituximab destroy B cells that are secreting anti-COVID-19 spike antibodies? That would cause vaccination failure in the patients with lymphomas and autoimmune diseases
I have lymphoma and am on rituximab as a maintenance and I am not taking any vaccines.
My totally amateur take on Africa is this. Remember when we asked the same question of India? If India does not happen in Africa, then why won't it? I would say one is that overall there is still (barely) less obesity and metabolic disease there, but that is at best a semi-educated guess on my part. Also, possibly, vitamin D. Again, another guess. And, yes, youth. However, to go back to my original point, it is possible that it just has not hit there, yet. It's possible the virus has not adapted itself for maximum spread, as it did in India, as it does to every population.
Thank you very much Doctors. :) practice without evidence probably normal in medicine in novel situation. :)
How can a 1% absolute risk reduction vaccin on a 90% population WHO vaccination safe the westen world? What will be my long term chronical disease absolute risk reduction? The medical industrial complex will love this business model.
Please also report on how may deaths & adverse effects from the vaccine in the U.S
That’s public posted daily. Go find at John Hopk
Minute 45:30
Great content
Cases are not actually cases since pcr test first find virus
I still cant figure out how DRs always look so young relative to there age. They must be taking a secret anti age potion.
What is the end game? Will we ever get to a point where the "experts" try to give us some hope? Or are we going to be doom and gloom forever? I'm getting really tired of the negativity from the experts.
I thought this was a very informative review, and not at all gloom and doom….. there are definitely problems, but that’s just reality. I think in the US, we have a very positive outlook as we continue to get the population vaccinated. It is very important to understand that there are segments of the population that will be relying on the rest of us to be vaccinated to get the infections in the population down, because they can’t protect themselves due to health problems they are dealing with. Recognizing that despite your frustration, you still took the time to watch and comment though, I think that the more people that understand the complexities of dealing with a transmissible disease, the better we can educate those that don’t have the patience to absorb the information from the experts that study these things.
You need to meet Monica Gandhi.
@@PawPancha Monica Ghandi is the ultimate voice of reason. She should have Fauci's job.
No doom and gloom in this presentation. There is a lot of hope messaged here. Repeatedly. It is done using science and scientific jargon, so perhaps that is confounding you. If you want this all to go away and have it be 2019 again, then you don't understand what is going on. Hang on; things are improving in parts of the globe. Research is ongoing too.
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