COVID: It's Time to be Outspoken

Turning the tide on COVID with our voices. Nurses COVID Article

I Am Sick of this Virus

To say that I am sick of COVID-19 is an understatement. Thankfully I haven’t been physically sick from COVID-19 but the mental anguish has been significant. It’s been a year and a half of uncertainty, fear, isolation, anxiety, grief and frustration. I’m sure some of you are quite familiar with these feelings. 

Right now my overarching emotion is disappointment. I am disappointed that we are still living through this pandemic. I am disappointed that our country is divided on how to best handle the virus. I am also disappointed that so many people are rejecting facts and beneficence in favor of misinformation and self-interest. This is dangerous territory.

When did people start renouncing what is scientifically proven to be best for the whole in exchange for what “might” be best for them personally? How did upholding personal freedoms become more noble than ensuring the safety of the masses? 

Recently I read a quote that really stuck with me and seems wholly applicable to our current situation. 

The Cherokee elder Stan Rushworth said, “The difference between a Western settler mindset of ‘I have rights’ and an indigenous mindset of ‘I have an obligation’ is instead of thinking that I am born with rights, I choose to think I was born with an obligation to serve past, present and future generations, and the planet herself”.

These are powerful words that mirror the split happening over Coronavirus.

66% is a D. That's too Close to Failing.

I had assumed that the vast majority of people would be of the “obligation” mindset but my assumption is inaccurate. According to the Centers for Disease Control and Prevention, 66% of Americans age 12 and older - those eligible for the vaccine - are fully vaccinated. I’m not comforted by this percentage rate; it feels much too low for such an unpredictable, deadly virus. Are four out of ten people okay rolling the dice on this one?

I have to wonder how people have lived through the same past 20 months as me but have chosen not to vaccinate, not to mask up, and not to protect themselves and their loved ones from COVID. How are they so confident they’ll survive? How do they not fear inadvertently killing another human being? Were they not watching the same news as me - of tractor trailer trucks lined up on city streets, acting as mobile morgues because the hospitals were too full of dead bodies? That haunting image alone was enough to make me think the vaccine was worth getting.

Towards the beginning of the pandemic, I remember watching footage of nurses in NYC walking into their hospitals with neighborhood residents cheering and banging pots and pans together from their apartment balconies in a show of support and love. I hoped these same people showing their support outwardly and loudly were doing what was needed behind the scenes: quietly getting their vaccinations without fanfare. I hoped they were doing what was necessary to actually prove their allegiance to those fighting on the hospitals’ front lines.

What Can We Do?

As nurses, we can help turn the tide of COVID by educating our patients and peers on the dangers of misinformation and the vital importance of doing all we can to stop the spread. We can disseminate factual knowledge to those who need it, loudly. It’s our obligation to set the record straight and offer evidence-based research to those who may be getting their news from less-than-reliable sources. 

It’s Our Time to Be Outspoken. Lives Are On the Line.

We can spread the facts at our patients’ beside, to their visitors, on social media, and to our anti-vax friends and family. We can volunteer at vaccination clinics. We can tell real-life, modern horror stories of how intubation works or how organs shut down due to this disease. It’s time to scare people straight. 

We can sport a cheery “I’m Vaccinated!” pin and wear masks in public, even when not mandated. We can run for the school board and help influence safety measures in our children's classrooms. We can help organize transportation to local pharmacies for citizens who may not be able to get to a vaccination site otherwise. There’s a hundred other ways we can do good work and keep people safe.

Over the past 20 months we’ve established that healthcare professionals are heroes. Let’s continue to do heroic things, not just with our skilled hands, but with our loud, determined voices. Make yours heard. 


References

One Year In: COVID-19 and Mental Health

We Are All Related: A Conversation with Stan Rushworth

COVID-19 Vaccinations in the United States

Specializes in NICU.
On 10/20/2021 at 9:53 PM, NRSKarenRN said:

Spoke to my SIL and 50+yo brother this weekend, lives in 3 states away; he works from home and helps care for her disabled mother with dementia living with them.  Learned that my brother was in the ED last week due to abdominal pain-- DX diverticulitis and surprise had blood sugar > 350, new DX diabetes. 

Asked my SIL if she got her COVID vaccine as had to wait till had mammogram in late July..."No, too busy with Mom, brother not immunized either."  Told them wanted to visit him but they need to be vaxinated due to my medical HX and fact has aide visiting 2-3x week,  SIL extended family that visits not immunized as "already had covid".     Reinforced need to protect HER mother and themselves --along with visitors.   

Got text message yesterday that she got her 1st Pfizer shot.  So continual  non-confrontational discussion allaying fears can work.

Why do they need to be vaccinated when all it can possibly do is lesson their symptoms if they get sick? If they get covid (whether vaccinated or not) they can still spread it to you, and you (whether vaccinated or not) can still get covid. Only thing is if you are vaccinated, it will decrease your chances of ending up in the ICU. Them getting the vaccine doesn't do anything for you. You take a vaccine for yourself, not for others. Have you ever asked someone or said you wouldn't visit if they didn't get their flu vaccine? No, because you get your vaccine and then if you go visit and they have the flu, your vaccine will protect you and fight off the flu. Whether they have it or not doesn't matter ?!?!?

Specializes in NICU.
On 10/21/2021 at 8:10 AM, offlabel said:

Rational, measured calm conversations about good decision making. If a teenager has more of a chance of getting myocarditis from the vaccine than with the actual infection, a decision not to be vaccinated would seem rational. If admission to the hospital would be likely if a particular person got infected, vaccination would seem rational. If you don't want to get sick, get vaccinated. Take care of everyone else.  By now, everyone will have made a decision. Polemics are just not necessary and they make matters worse. 

Wow so simple yet so rationale. Wish everyone felt this way. I don't understand how we are supposed to all of a sudden throw away all of our patient rights when it come to covid. They still have a right in deciding what they do with their medical care. We don't hold people against their will and make people stop eating fast food or sugar if they are overweight or diabetic. We educate, provide education, and keep it moving, because at the end of the day, it's their decision and we are not here to judge. Yet all that goes out the window when it come to this particular vaccine. Get your vaccine if you want, if you feel it is the best way to keep yourself safe, wear your mask to protect yourself from those who chose not to get it, and keep it moving. I'm not changing my medical decisions based on what you want or how you feel. I feel I am safer not taking a brand new vaccine with limited studies and that is my right. Yet I'm the devil, I'm the anti-Christ, shouldn't be a nurse, putting the entire world in jeopardy. Well if your vaccine works, then my vaccination status shouldn't matter. 

Specializes in NICU.
On 10/21/2021 at 10:01 AM, toomuchbaloney said:

When does that happen and who are those teens? 

You know Finland, Sweden, and Denmark all stopped their vaccinations for males under 30 because of pericarditis. 

Specializes in Critical Care.
7 minutes ago, LisaNICUrn said:

Why do they need to be vaccinated when all it can possibly do is lesson their symptoms if they get sick? If they get covid (whether vaccinated or not) they can still spread it to you, and you (whether vaccinated or not) can still get covid. Only thing is if you are vaccinated, it will decrease your chances of ending up in the ICU. Them getting the vaccine doesn't do anything for you. You take a vaccine for yourself, not for others. Have you ever asked someone or said you wouldn't visit if they didn't get their flu vaccine? No, because you get your vaccine and then if you go visit and they have the flu, your vaccine will protect you and fight off the flu. Whether they have it or not doesn't matter ?!?!?

Vaccines aren't an antidote to the symptoms of Covid, they reduce the ability of the virus to replicate in an infected person, which then impedes the effects of an infection.  The ability of a virus to replicate in a host is what the virus relies on to spread to others.

It's certainly not impossible for a vaccinated person to spread the virus to others, there is a window where for at least some amount of time after exposure where a vaccinated individual has a similar potential for transmission as an unvaccinated individual, but that window of time is far shorter than if the person is unvaccinated.  

This isn't specific to Covid vaccines, it's a well established benefit of a number of vaccines, something I would generally hope a BSN prepared nurse is already aware of.  

 

Specializes in NICU.

Oh, no I understand, as a BSN prepared RN that it's not specific to the covid vaccine, and that vaccines aren't an antidote. Studies have recently proven that the viral load for vaccinated and unvaccinated people who contract covid-19 are nearly the same, therefore, the unvaccinated isn't spreading it any quicker or easier than the vaccinated. That was my only point. 

https://www.ucdavis.edu/health/covid-19/news/viral-loads-similar-between-vaccinated-and-unvaccinated-people

https://publichealth.jhu.edu/2021/new-data-on-covid-19-transmission-by-vaccinated-individuals

I guess this is part of the problem and misinformation. Part of all the confusion and hesitation. For all the legit articles and studies I can find that say they transmit covid equally, you can find just a many that say the opposite. Then it comes down to which articles do you believe? 

I am not antivax, I just don't believe this vaccine protects us like they say, I truly question how my body will react to it. I have done hours upon hours of research, I have prayed about it, and I have decided what is best for me at this time. Will I get it, or another form of vaccine for covid in the future? If it is needed and I feel comfortable taking it, sure. I just do not at this time. The problem with taking a vaccine that hasn't even been available a year is we don't know what it will do from one day to the next. Hence why countries are stopping Moderna for guys under 30. Why every month or so we hear of these side effects. We are now learning the vaccine might protect, but it isn't lasting very long at all. It's not political for me, it's personal, it's medical, it's my life. 

I don't go and scream on top of the rooftops not to get it. Those who do ask me, I explain I made the medical decision not to get it, and that they need to look into it, do their own actual research besides just watching the news, and make a decision for themselves. But I 1,000 % do not agree with people losing their jobs over something like this. I do not agree with mandating something for a virus that has a 99% survival rate. I do agree with people have medical freedom. 

Sorry, I got carried away. Have a good night. 

Specializes in Critical Care.
29 minutes ago, LisaNICUrn said:

Oh, no I understand, as a BSN prepared RN that it's not specific to the covid vaccine, and that vaccines aren't an antidote. Studies have recently proven that the viral load for vaccinated and unvaccinated people who contract covid-19 are nearly the same, therefore, the unvaccinated isn't spreading it any quicker or easier than the vaccinated. That was my only point. 

https://www.ucdavis.edu/health/covid-19/news/viral-loads-similar-between-vaccinated-and-unvaccinated-people

https://publichealth.jhu.edu/2021/new-data-on-covid-19-transmission-by-vaccinated-individuals

I guess this is part of the problem and misinformation. Part of all the confusion and hesitation. For all the legit articles and studies I can find that say they transmit covid equally, you can find just a many that say the opposite. Then it comes down to which articles do you believe? 

I am not antivax, I just don't believe this vaccine protects us like they say, I truly question how my body will react to it. I have done hours upon hours of research, I have prayed about it, and I have decided what is best for me at this time. Will I get it, or another form of vaccine for covid in the future? If it is needed and I feel comfortable taking it, sure. I just do not at this time. The problem with taking a vaccine that hasn't even been available a year is we don't know what it will do from one day to the next. Hence why countries are stopping Moderna for guys under 30. Why every month or so we hear of these side effects. We are now learning the vaccine might protect, but it isn't lasting very long at all. It's not political for me, it's personal, it's medical, it's my life. 

I don't go and scream on top of the rooftops not to get it. Those who do ask me, I explain I made the medical decision not to get it, and that they need to look into it, do their own actual research besides just watching the news, and make a decision for themselves. But I 1,000 % do not agree with people losing their jobs over something like this. I do not agree with mandating something for a virus that has a 99% survival rate. I do agree with people have medical freedom. 

Sorry, I got carried away. Have a good night. 

You're correct that the unvaccinated and vaccinated have similar peak viral loads, the difference is the duration of time where they have that elevated viral load and are therefore likely to spread the virus to others.

There are a number of studies on the subject, with the most recent being fairly large, which show comparable viral load levels around day 3 after exposure, but the viral loads of vaccinated individuals fall quickly after that point but the high viral loads in the unvaccinated remain elevated for typically 10-14 days.  In other words, the unvaccinated have a significant potential to spread the virus to others that lasts 3-4 times longer than it does in vaccinated individuals.   

The case fatality rate of Covid isn't actually 99%, although I'm not sure where people get the idea that a 1/100 chance in dying from a virus that's relatively easy to catch isn't something to worry about.

I agree with you about the importance of "medical freedom", it's just that we probably don't agree with what that means.  Of our ICU Covid population there's always at least a few who are vaccinated.  What they all have in common is that they are immunocompromised in one way or another, and since the vaccine relies on a competent immune system to work, they rely far more on those around them to be vaccinated and to mitigate their high risk exposures.  The number of people who fall into this group is far larger than most people realize.  In order for them to enjoy any amount of "freedom", without dying anyway, they rely on the fellow participants in the society they are part of to be responsible members of that society. 

Specializes in NICU.
2 minutes ago, MunoRN said:

You're correct that the unvaccinated and vaccinated have similar peak viral loads, the difference is the duration of time where they have that elevated viral load and are therefore likely to spread the virus to others.

There are a number of studies on the subject, with the most recent being fairly large, which show comparable viral load levels around day 3 after exposure, but the viral loads of vaccinated individuals fall quickly after that point but the high viral loads in the unvaccinated remain elevated for typically 10-14 days.  In other words, the unvaccinated have a significant potential to spread the virus to others that lasts 3-4 times longer than it does in vaccinated individuals.   

The case fatality rate of Covid isn't actually 99%, although I'm not sure where people get the idea that a 1/100 chance in dying from a virus that's relatively easy to catch isn't something to worry about.

I agree with you about the importance of "medical freedom", it's just that we probably don't agree with what that means.  Of our ICU Covid population there's always at least a few who are vaccinated.  What they all have in common is that they are immunocompromised in one way or another, and since the vaccine relies on a competent immune system to work, they rely far more on those around them to be vaccinated and to mitigate their high risk exposures.  The number of people who fall into this group is far larger than most people realize.  In order for them to enjoy any amount of "freedom", without dying anyway, they rely on the fellow participants in the society they are part of to be responsible members of that society. 

OK I will look into the viral load information. I haven't researched it in a few weeks. And I definitely understand the immunocompromised wanting to have the freedom to live their lives as well and rely on responsible member of society. I live in Florida and am one of the few people you will see still wearing a mask at the grocery store. I see family but still shy away from large gatherings just in case. I still use hand sanitizer when I'm traveling and am conscious that I would never forgive myself if I gave covid to a patient. I am conflicted being a nurse and not wanting to get the vaccine. At the end of the day though, I have to protect myself before I can ever protect my patients. 

But I am not 100% against the vaccine, and I do research and almost daily weigh my options. I will continue to research and wait for further studies and pray the vaccine is as safe and useful as everyone thinks it is and I'll feel safe enough to get it soon. 

There is no question COVID 19 created a large death toll in this country and around the world. Historically, vaccines have been helpful to stave off death - like polio to name one only as an example.

However, as the OP pointed out, the COVID vaccine has created an enormous divide among the citizens of our nation. The OP also encouraged educating the unvaccinated with 'the facts' based on science. 

Please help educate me then...Which facts? The COVID vaccine package insert? Which science study? What is the Standard deviation and regression analysis of the study she is referring to? Which academic journal- JAMA? New England Journal of Medicine?

Some of my hesitation with the COVID vaccine is based on why do the previous regulations trialing new medications not apply here? How can the COVID vaccine be developed in such a short time frame and approved by the FDA so quickly when many other attempts at vaccines take 3 phase trials and (while the 3rd phase can take years)strictly regulated by the Global Safety Board? Who is monitoring the response?

Additionally, Perdue Pharma deliberately withheld accurate safety information surrounding addiction potential of OxyContin and used hospital academics to substantiate the misinformation https://www.ucsusa.org/resources/disinformation-playbook-purdue-pharma.  The death toll from addiction has been huge also. 

Please educate me. I trust you want the best for my health as well as yours, but perhaps one way to accomplish reaching the goal of increased vaccination numbers would be to listen to (and hear) my reasons of mistrust and provide me with trustworthy literature to read. 

Specializes in NICU.
1 minute ago, Bluefamily said:

There is no question COVID 19 created a large death toll in this country and around the world. Historically, vaccines have been helpful to stave off death - like polio to name one only as an example.

However, as the OP pointed out, the COVID vaccine has created an enormous divide among the citizens of our nation. The OP also encouraged educating the unvaccinated with 'the facts' based on science. 

Please help educate me then...Which facts? The COVID vaccine package insert? Which science study? What is the Standard deviation and regression analysis of the study she is referring to? Which academic journal- JAMA? New England Journal of Medicine?

Some of my hesitation with the COVID vaccine is based on why do the previous regulations trialing new medications not apply here? How can the COVID vaccine be developed in such a short time frame and approved by the FDA so quickly when many other attempts at vaccines take 3 phase trials and (while the 3rd phase can take years)strictly regulated by the Global Safety Board? Who is monitoring the response?

Additionally, Perdue Pharma deliberately withheld accurate safety information surrounding addiction potential of OxyContin and used hospital academics to substantiate the misinformation https://www.ucsusa.org/resources/disinformation-playbook-purdue-pharma.  The death toll from addiction has been huge also. 

Please educate me. I trust you want the best for my health as well as yours, but perhaps one way to accomplish reaching the goal of increased vaccination numbers would be to listen to (and hear) my reasons of mistrust and provide me with trustworthy literature to read. 

Love this ❤❤ I do wish people would hear our side of things sometimes. Not all of us are crazy conspiracy theorists and believe all the other things politics introduces into the vaccine dilemma. Especially us in the medical field. We have a background, a degree in science. We have learned how to and the significance of doing our own research, of evidence-based practices. We spend our days telling patients their rights as a patient. We teach about informed consent. We believe in science, and most of us are not anti-vax. Our research just comes from articles, from scientists, doctors, and studies not seen on every TV, every news outlet, and every online news source. Our articles aren't necessarily the ones you read, but if you look hard enough, you will find them. We see the side effects, the deaths, the stark differences they aren't splashing all over the media. 

 I'm seeing such hateful comments from fellow nurses, it's so discouraging. We were taught to educate and never judge. But nurses are turning on each other, wishing death to the unvaccinated. I've never heard them say that about the patient that refused blood, or binges on sugar although they are a diabetic and ends up in the ICU. I've never heard it when an elderly person didn't get the flu vaccine so ended up in the hospital with the flu. Sad days We are living in. 

Specializes in Labs: Chemistry, heme, serology, blood bank, UA, m.

Fear mongering people who have chosen not to get the vaccine isn't going to help, it's just going to get people to hate you. The government has been using fear and strong arm tactics to force the vaccine onto people and look how well that's going.

Instead of guilting people about not getting vaccinated, ask them about their concerns, because a lot of these concerns have some semblance of validity.

After ACTUALLY listening, give them USEFUL information geared towards their perspective. they're afraid of blood clots and you've looked into the stats, maybe instead of parroting, "oh their exceedingly rare don't worry about that", tell them what vaccine has the least chance of that happening for their demographic. If they're staunchly against the vaccine on principle, educate them on treatments available for early stages of covid cases that can help keep them out of the ICU if they end up catching it.

If you don't have anything constructive to say on their concerns, don't be a jerk and just acknowledge their viewpoint like a respectful human being. Very few of us are truly covid vaccine experts.

Specializes in Hospice.

Maybe those articles aren’t slashed all over the media because basic fact-checking suggests that they are less than rigorous. We know that at least two foreign governments have been involved in misinformation campaign’s which automatically triggers a certain level of suspicion over any poorly sourced or outright nonsensical assertions. Having to debunk the same misleading tropes over again and again and endlessly on does get very old and I, personally, get quite testy the umpteenth time I have to explain that risk reduction does not mean the same thing as risk elimination.

Specializes in NICU, PICU, Transport, L&D, Hospice.
7 hours ago, LisaNICUrn said:

You know Finland, Sweden, and Denmark all stopped their vaccinations for males under 30 because of pericarditis. 

Quote

 

The US Centers for Disease Control and Prevention notes that young males seem to be more at risk of the inflammatory conditions after receiving Moderna’s or Pfizer’s mRNA vaccines, and that patients who develop these conditions following COVID-19 vaccination tend to recover quickly. The agency continues to recommend that everyone 12 and older receive a COVID-19 vaccine, as the risks posed by COVID-19 far outweigh those associated with vaccination.

The countries still recommend vaccination against covid in those groups using another vaccine.  Would your guidance be for those individuals to avoid vaccination altogether?