When nursing advice was given during the pandemic, often the response was, "I'm doing my own research." What did that mean? What resources could be trusted? What were they reading that made some of them have such a different take on COVID issues than I had? This article may help to decipher some of that, and at the end, I offer up some of my most trusted resources for pandemic medical and preventative information.
How many times did we hear this over the past few years and during the worst of the pandemic? Even though all media resources told us that thousands upon thousands of people of all ages were dying from COVID 19, many decided they could instantaneously become an expert on infectious diseases. All they had to do was Google it, facebook it, Twitter it, or whatever. Every newspaper and TV station covered COVID ad nauseum, and they were also the experts. Books were written about it, and documentaries were done. So, how was anyone to know who to trust?
Before the pandemic, I trusted my doctor! So, when my 74-year-old brother, who self-identifies as a conservative reborn Christian, got sick with COVID, I figured he would trust his doctor and me too! We had some pretty frustrating discussions about his illness and what to do about it. After 3 days of long-distance (Maine/SC) nurse lectures with him about his declining condition and his difficulty breathing and weakness, I finally convinced him to call 911. He was at the point where he knew he should go but was too weak to drive himself there. His doctor had advised him to get a pulse oximeter, and his blood oxygen was around 86% when he decided to go to the hospital. He was hospitalized and got the same treatment as his guy, President Trump. And, he did well. Then several weeks later, I asked if he was going to get the vaccine so that he wouldn't get COVID a second time, or at least he wouldn't get as sick! He said, "I don't know. I'm doing my own research". So there was my new challenge as his sister and a nurse to convince him that immunity from an active case of COVID isn't reliable, and EXPERTS were advising that we get the vaccine. My final plea to him was, "At least ask your doctor about it." He did, and after she advised him to, he got the vaccinations and booster.
I actively participated in some very disturbing and angry conversations about COVID, the seriousness of it, and then the need for vaccines in discussion groups and in comments to newspapers and other media comments/conversations. And yes, I know this is a good way to beat yourself up! The level of distrust and confusion, and downright ignorance was astounding. And, it got nasty at times. People would quote and link to articles from known disinformation and misinformation resources and say that was their proof that the vaccine was garbage, or deadly or ineffective, etc. I got an email from a good friend who is a Maine State Representative. She asked me if someone had died as a result of getting the vaccine in Maine. She sent me a link to an obituary that stated that the cause of death was the vaccination! So, even families of the deceased who were writing obituaries were spreading misinformation. I would not answer her question until I communicated with my trusted resources at the Maine CDC. Nobody had died as a result of getting the vaccinations in Maine.
Gossip, politics, hatred, ignorance, divisiveness, and so much more have played into our guidance and actions during the pandemic. I learned quickly not to listen to garbage. I listened to and took my own medical advice from trusted resources and learned as much as I could. Also, to get me with the program, there were some courses on Coursera that I completed. I got two COVID-related certifications that I didn't use professionally, but I did use them when advising friends and family.
As a patient safety advocate and activist, I would never tell people not to question any treatment or other healthcare advice. However, I warn them to be sure that what they are "researching themselves" should be reliable and accurate information. No resource is 100% accurate, including the CDC website or other healthcare information resources. But certainly, the CDC's content is much more reliable than, let's say, a politician's guidance.
And, perhaps the most important resource for health, medical and preventative advice and information for anyone, is their trusted doctor or other healthcare provider. We all took advice from them prior to the pandemic ... and during the pandemic most (but not all) doctors gave solid guidance.
Two sources of information I refused to consider or listen to were politicians and anti-vaxxers. The advice that came from the President of the United States (politician) during the worst of the pandemic was horrid ... just plain crazy talk. He fancied himself some sort of scientist or genius, and nothing could be further from the truth. How many people harmed themselves by cleansing with bleach ... inside or out, or taking unproven/ineffective drugs for COVID? He had no idea what he was talking about or how powerful words from the POTUS were. And, some doctors are politicians, so we must be aware of that. An example is the guy that Trump brought in at the end of his administration, Scott Atlas. My colleague actually reported him to the California State Medical Board for his wild harmful advice on COVID and vaccinations. He completely contradicted accepted practices and science on how to control this pandemic. He was only one of many to beware of. Even after feeding regular citizens lies and misinformation ... President Trump got the best known (at that time) treatment for his own case of COVID, and he also got the vaccinations when they were available. His advice came out of both sides of his mouth, but he did the right things for his own health when he got sick.
The media had a heyday with COVID information and misinformation, and for the average person with no medical background or experience, it was overwhelming at times. It was overwhelming for me, too. And, it was exhausting. I listened faithfully to Dr. Nirav Shah, Director of the Maine CDC, on our local TV station almost every time he presented. He was exceptionally well trained and prepared for this work, and he welcomed questions and comments. His patient, intelligent demeanor was like a soothing salve during our time of staying away from each other. He coalesced the citizens of Maine, or at least the ones who were not hell-bent on doing all the wrong things, and he never lost his cool. His advice was science-based and given in a kind way. Maine is very lucky to have him.
One may ask, "where can I find the best COVID information and guidance? I would take it down to about three (3) resources. Keeping abreast of Statewide COVID information, mandates, data, and guidance is best done at the State level CDC webpages and television updates because it could be different for each State. I'd add that local Public Health experts and departments are an excellent information source. Getting personal medical advice should always come from your personal doctor, the one you trusted prior to the pandemic. Anything beyond that we can learn from the Federal level CDC. None of their information is complete or always up to date, but it seems to be the most reliable and true. These resources are always being updated, particularly when we were learning more and more about the novel virus, COVID 19. I always found the WHO information to be comparable to the CDC. I don't think there is any harm in Googling and learning whatever we can about COVID or other health information, but it's important to understand that not all of that information is reliable, and some is even outrageous.
I'm happy to say that now, not every minute of my day is consumed by the pandemic. However, a recent visit with my sweet sister-in-law gave us pause. She spent a few days prior to coming to my home with good friends who got sick and tested positive for COVID. They told her about it her first morning here in my home. She was devastated, and I was too! this was our first visit in almost three years. What to do! I used my trusted resources on the CDC website to get exact and effective information. We figured out that if we visited outside mostly, and she stayed in our camper hooked up in our driveway, we could still have a fantastic visit. We shared our free COVID tests with her. When my husband took her to pick up her rental car, they both masked and kept the car windows open. It was a little weird, but it worked out. And, she never tested positive, thank goodness.
I use to be a very vocal advocate for childhood vaccination. I still am. I had no tolerance for the fabled autism and the other proven falsehoods around child vaccinations. I did do my own research as well. I visited turn of the century cemeteries in my area. What I found was family plots, upto 10 children, usually not older than 5 years that died. Several family plots, with several children, several cemeteries. I then correlated this with when child disease vaccines became available. There was a dramatic reduction after the implications of routine vaccinations of these plot with several children.
I presented this info to parents that were hesitant on getting their children vaccinated. It proved much more effective than stating statistics from the FDA and medical journals.
I often wondered why these childhood vaccine were not mandated. I found personal medical choice to be the immediate answer.
I think the disconnect from today's covid vaccine hesitancy is, for one of the first times we were required to allow a medical intervention in the form of an injection in which we required to do in order to enjoy our personal freedoms(as preciev3d by some as a violation of freedom). This at this scale did not happen before. It's always been understood that we have our medical freedom to choose what we medically do to our bodies.
Also for one of the first times in history, medical practitioners addressed the hesitancy with more hostility than empathy. It has always been the role of the nurse to use empathy and educate but ultimately respect the individuals choice. This seemed, at the very least, be less so with covid vaccination.
Then the political use of the entire thing happened as well. There is a mistrust in our political leaders, our medical profession the media and in general. The complete vilified on either side.
I think this is why the "I'm doing my own research" came out. What that research in this context is, I'm not sure.
4 hours ago, KathyDay said:Or, she could not have a provider at all, correct? We seek care and we hope we can trust our providers. The decisions to share or not share private information is up to the patient, whether they are a kid or adult. If sharing intimate information could cause her discomfort or harm, she is totally within her rights to not share it. It's sad that what use to be routine health info can now be scrutinized by people who are not even in the room.
Do you really believe that because of what's happening in our political world that the general Dr cannot be trusted? That asking when her last menstrual cycle could cause her harm?
It is more likely that harm could happen when patients do not report or answer question from their Dr.
Not sharing information could cause allot more harm. She doesn't have to disclose anything but she also doesn't get to cry and complain when something is missed because of her distrust. Unfounded in my opinion.
What's happening with abortion rights is bad enough, it doesn't need to be cheapened by irrational hysteria that only causes more harm. In my opinion.
What information can be scrutinize by people not in the room? Who are the people?
1 hour ago, Janenurse said:Do you really believe that because of what's happening in our political world that the general Dr cannot be trusted? That asking when her last menstrual cycle could cause her harm?
No, what’s happening in the poliltical realm doesn’t mean that a specific, individual doctor can’t be trusted. But given that many states have banned abortions and some even allow private citizens to file suits against doctors who’ve performed an abortion or against ANY person who has helped a woman get an abortion, I find it 100% understandable if a girl or woman doesn’t want to divulge sensitive information regarding her reproductive health. To anyone. Period. (Pun intended).
When politicians decide to rob half the population of their bodily autonomy and decide that it’s acceptable to FORCE a girl or woman to carry a pregnancy to term, AGAINST HER WILL, that is not something that will foster an atmosphere of trust. It will only get worse.
I don’t know the details surrounding the girl’s/young woman’s situation. Perhaps she could have replied in a more polite manner. Perhaps she could have asked the doctor if/why it was important for the physician to know the exact date of her last period. Perhaps she lives in a state that has banned abortions in 99% of circumstances and she knew that she was a week or two late and didn’t want to disclose that out of fear of the potential consequences. We don’t know what prompted her rather curt (?) reply. But I think it’s fair to assume that many women will be worried about disclosing details about their reproductive status going forward.
I don’t think that healthcare professionals should take that personally and think that the patient doesn’t trust them, rather that it is a sign of the new harsh and abusive reality women have to deal with.
3 minutes ago, macawake said:But I think it’s fair to assume that manywomen will be worried about disclosing details about their reproductive status going forward.
Fair point but being rude about it doesn't really help and certainly will not garner much sympathy for the cause. I don't think it's fair to treat the medical establishment like scum for what SCOTUS did. Many if not all of my male physician friends were as appalled as we are.
8 minutes ago, macawake said:No, what’s happening in the poliltical realm doesn’t mean that a specific, individual doctor can’t be trusted. But given that many states have banned abortions and some even allow private citizens to file suits against doctors who’ve performed an abortion or against ANY person who has helped a woman get an abortion, I find it 100% understandable if a girl or woman doesn’t want to divulge sensitive information regarding her reproductive health. To anyone. Period. (Pun intended).
When politicians decide to rob half the population of their bodily autonomy and decide that it’s acceptable to FORCE a girl or woman to carry a pregnancy to term, AGAINST HER WILL, that is not something that will foster an atmosphere of trust. It will only get worse.
I don’t know the details surrounding the girl’s/young woman’s situation. Perhaps she could have replied in a more polite manner. Perhaps she could have asked the doctor if/why it was important for the physician to know the exact date of her last period. Perhaps she lives in a state that has banned abortions in 99% of circumstances and she knew that she was a week or two late and didn’t want to disclose that out of fear of the potential consequences. We don’t know what prompted her rather curt (?) reply. But I think it’s fair to assume that manywomen will be worried about disclosing details about their reproductive status going forward.
Fair enough but until something like you describe happens, I will reserve the hyperbole. Having a period is far different than having an abortion. With restricted abortion in states that gave made it illegal, someone has to initiate the complaint. No one is going to expect Dr to report their patients LMP.
2 hours ago, Janenurse said:Really? Who was this?
You don't recall this? The anti-abortion zealots haven't stepped back since then.
3 hours ago, Janenurse said:Also for one of the first times in history, medical practitioners addressed the hesitancy with more hostility than empathy. It has always been the role of the nurse to use empathy and educate but ultimately respect the individuals choice. This seemed, at the very least, be less so with covid vaccination.
I live in Florida where vaccine hesitancy was tolerated and very few employers, including my hospital, required it. But I also can't disagree, but to be fair to healthcare provider's hostility at the time of the vaccine promotion, people were filling up hospital ICUs and dying and it was shown most of them were not vaccinated. Even the general public had some hostility towards the unvaccinated. I feel that should be noted when criticizing healthcare providers response to the unvaccinated. It was a very frustrating time for us.
Things now are different of course and people are still getting covid in large numbers but aren't getting as sick.
1 hour ago, toomuchbaloney said:You don't recall this? The anti-abortion zealots haven't stepped back since then.
You really can't make this stuff up.
12 hours ago, Wuzzie said:What a little snot. ?
I'm not sure how you can determine that from a third hand account.
I can't remember that last time a HCP asked me when my last menstrual cycle was, probably at my last pregnancy. Surely, when a drug or procedure can harm a newborn, a pregnancy test is more reliable than a teen's memory.
As for mistrust of the medical profession, I personally have received incorrect diagnoses several times in the last few years. I find it very hard to trust someone I have barely met.
Did you hear about the case where a woman and her daughter's electronic messages were subpoenaed to demonstrate she had a medication abortion? Who's to say a medical record wouldn't be subpoenaed for information about someone's last period?
9 hours ago, nursej22 said:Did you hear about the case where a woman and her daughter's electronic messages were subpoenaed to demonstrate she had a medication abortion? Who's to say a medical record wouldn't be subpoenaed for information about someone's last period?
Again, I think the mistrust in the physician is misplaced. If someone is fearful of the government then perhaps the answer would have been "the government is not to be trusted, so I will give the doctors the bare minimum I feel they need to know" rather than "doctors are not to be trusted".
I know many of us have had bad experiences with doctors and the medical establishment. I cringe sometimes hearing the stories. But also I think trusting conspiracy theories, Google or even a politician (Marjorie Taylor Greene, a US congressperson, stated that monkey pox is a scam) in favor over the medical establishment is a mistake.
There should be a collaboration to be well informed and researched in order to ask the right questions and tell the physicians, PA's, NPs, and nurses what they need to know to help us and come up with a plan together.
Ultimately though the decisions are ours. I've seen some people reject conventional treatment and go alternative after doing research (such as going whole food plant based to cure RA or cancer) and I've seen some people reject vaccines and die. There's a lot of quackery out there and to trust that over tried and true science bothers me.
Tweety, BSN, RN
36,265 Posts
Translating the SCOTUS decision and the following actions by republican politicians to "doctors are not to be trusted" is a leap that I don't think is fair.