kitsune01

I bet the doctor was probably doing their job well and told the friend that since she had a history of CVT from birth control she should not get the J&J shot (or AstraZeneca depending on which country we are talking about), because of the small risk of CVT associated with the viral vector vaccines. Then things got super garbled in a game of telephone and we ended up with that statement… I would have expected any kind of responsible health care professional would spend the 30s it would take to Google and find out what it was actually was the friend was talking about though. The clotting issues with the adenovirus vaccines have only been all over the news since April.

As a tangent I hope that everyone on this thread who is like “I’m not antivax, mRNA vaccines are just too NEW AND SCARY” is planning on rolling up their sleeves for the novavax shot whenever it becomes available, because if I remember correctly that one is a recombinant protein subunit vax (not new) with a variant on a standard class of adjuvants (not new). Otherwise I’m going to give your “not an antivaxxer” protestations the side eye

Not efficacious? So basically you are saying both Pfizer and Moderna faked their phase 3 clinical trial data, and also that Pfizer and/or the Israeli health service doctored the massive dataset that israel has been providing Pfizer in return for priority vaccine access early on which gave efficacy comparable to that shown in the trials. As well as all the data from everywhere those vaccines have been rolled out since then? That is one hell of a conspiracy rabbit hole right there. As far as the lipid carriers, why would you expect a tiny amount of something that is quickly broken down by the body to cause long term problems that don’t show up right away? You do realize that both the Pfizer and moderna lipid particles were developed years before, not magically put together on the fly last March. They have been tested in animals just like any other drug component. From what I understand they are believed to be partly responsible for the strong innate immune response that those vaccines can provoke, acting incidentally as a form of adjuvant, but that’s a) not a bad thing, and b) not something that would somehow lead to long term problems. Again, this may have been a reasonable concern back in January but there have been no serious issues found related to the lipid particles in the last 7 months. The only thing I know of that has been theoretically linked to them is a very very rare, benign rash that shows up about a week after the moderna vaccine only.

But why do you think they would behave any differently from the other 6 odd forms of vaccines we use already, NONE of which have serious side effects that show up months or years later. What about the way they work gives you cause for concern?

Name one known adverse event from any human vaccine that first shows up more than a month or 2 after the vaccine is administered. Why do you think the mRNA vaccines are special in this regard? That argument was a lot more reasonable in January (although anything that hadn’t shown up in the initial clinical trials had to be very very rare, like the slightly elevated rate of myocarditis in certain populations)

@PrettyNerd ? THIS is the post you should read and think about carefully. Everything Macawake says is spot on. I haven’t posted on here since nursing school but I saw this thread on the email digest and had to respond. I spent most of the last year working in covid units, including in Southern California when we got hammered by the Winter surge. Just because you are young and fit and have a healthy lifestyle doesn’t guarantee you will have a mild case if you get covid. The first time I gave tocilizumab (one of the anti-cytokine drugs used to try to stop ARDS) my patient was late 30s and healthy other than mild hypertension. At that point she’d gone from 4L NC in the ED, to 15L large bore NC, to 15L NC and 15L NRB, to 40L/100% Fi02 HiFlo and not keeping her sats up in less than 24 hours. She was transferred to stepdown as soon as possible and was in ICU by the next morning, but I believe she avoided intubation and did survive. From what I’ve been reading, under the current surge in the Deep South the ICUs are full of people like her, because they are much less likely to be vaccinated than the older or sicker people who got hit hardest last Winter. The difference is that patient back in January didn’t have the option of getting vaccinated. People who are young and healthy and vaccinated will occasionally get breakthrough cases, especially with the delta variant, but when they do they are not getting anywhere near sick enough to be hospitalized. If you want to protect yourself and your patients the best way to do that is to be vaccinated, as well as being diligent about your PPE and hand hygiene. Most nursing home residents are vaccinated at this point, but in the most fragile residents even a mild breakthrough case could be devastating. Last year I saw frail nursing home residents die of covid with mostly clear chest X-rays just because a week of fevers combined with refusing to eat (losing your sense of taste and smell destroys your appetite) burned through what little reserves they had.

I'm a nursing student doing my senior practicum in the NICU. Yesterday there was a weird incident with the baby my preceptor and I were caring for and I was wondering if anyone had seen anything like this happen. The baby was on dopamine at 10mcg/kg/min, and pharmacy had mixed it so at 10 the rate was 1ml/hr in a 25cc syringe. The dopamine was going into the second lumen of his UVC by itself, the other lumen was running tpn and lipids. The rate had last been changed about an hour before. Right before shift change the syringe pump alarmed, saying the pressure in the line was increasing. My preceptor checked the line and didn't find any problems, and the alarm resolved by itself in under a minute. BP at the time was fine. A minute or two later his BP spiked suddenly, with the map going from mid 30s to high 70s in about 20 seconds (I was looking at the monitor when it happened, so I know how quick it was) . My preceptor paused the dopamine briefly and we switched out the pump as fast as we could. Fortunately we had another syringe of dopamine from pharmacy so we were able to get that set up on the other pump really quickly. His pressure went down to acceptable levels pretty fast after that, his heart rate never went below 90, and his sats didn't really drop, but it was scary as hell. Called the NNP who came right over, checked on him, and helped out by filling out the incident report. The weird thing was something similar happened to him two days before, where his BP acted like he'd gotten a bolus. I don't know whether the pump alarm went off beforehand that time or not. Now everyone is trying to figure out what could have happened and wondering if they can trust the pumps. It probably wasn't the same pump, because the first one was swapped out and sent to biomed. No one had touched him or the lines either time, the UVC was in good position and hadn't had any problems with it otherwise. The previous day the dopamine was in a 12cc syringe and there were no problems. I've seen pumps set off the "pressure increasing in line" alarm before with no obvious cause, but only with large syringes, so I was wondering if it could be an issue with large syringes and relatively low rates not keeping a constant pressure in the line. Also wondering if that high a concentration is safe if the accuracy of the pumps are in question. Anyone seen anything like this? The pumps were medfusion 3500, by the way.

I don't think people carpool to clinical much, just because of logistics. As far as taking the bus, it depends on where you live. I've been able to walk or take the bus to all of the clinical sites I've had so far. (I didn't always take the bus, but I could have easily). If you live near bus routes like the 20 that go by lots of hospitals you'd be okay, but if you have to transfer you'd probably have to leave so early it would cut into your sleep. Also, mental health clinical sites seem to be pretty spread out, so unless you get Denver Health or the VA you might not able to take the bus to that clinical. You could probably ask your clinical placement people whether they will take your carless status into account and try to give you sites you can get to by bus or bike when they are available. If they will work with you then it might work. Depending on where I have my next clinical I may ride my bike when the days get longer, just so I get SOME exercise.

One of the nurses at my medsurg clinical site went to metro. I don't think she had any complaints about her education, but she told my friend she was up until 2 many nights just trying to finish her work and it was pretty stressful. On the other hand, she was done and working as fast as possible.

- An apartment with a dishwasher and a bathroom that's bigger than a closet. - A real vacation - one of these http://www.electricmotorsport.com/store/ems_electric_motorcycles.php

Yeah, although honestly I think the old website was even worse - I remember it took me forever to find the info I needed when I was researching schools. Those prereqs are so screwy - it seems like if someone had a bunch of college credit but no degree before deciding to pursue nursing, it would probably be faster and easier to just finish a bachelors in whatever subject they had the most classes towards so they only had to take A&P, micro and stat. And seriously, why require college algebra but not chemistry? The only thing you really need math for is dosage calc, and even for that, chemistry is probably more helpful.

If anyone is interested, I have the health assessment and path books you guys need. PM me and we can work something out.

grr - can't seem to edit my previous post to add this: I just drove down that block of detroit. The houses and apartments look nice enough, and you'd have a really short walk to the bus, but the alleys on both sides of the street do open onto Colfax. That wouldn't necessarily be a deal-breaker for me, but it would be for some people. It sort of depends on what you are used to. I do think you'd be better off with something south of 14th though.

I don't think there are really any streets to avoid in congress park, although I do think its a good idea in general to get a block away from Colfax, just because a lot of the apartment buildings are adjacent to the parking lots of the businesses on colfax (with fences, but still...) , and I think some alleys may even connect to colfax. You're just more likely to get random people wandering down your street or alley. When I go run errands this afternoon I'll drive down that block and take a look and let you know what it looks like. There are a ton of apartment buildings on columbine and elizabeth between 14th and 12th, and when I was apartment hunting there were quite a few vacancies. I also canvassed around there before the election at dusk and it had a pretty decent vibe.

I had him for both and I can't decide whether it would be better to have him for pharm or for patho if you had to pick. I just looked at the schedule, and for the people starting in January, I would strongly suggest you sign up for section 21 of the fundamentals lecture rather than section 22. It looks like they cut the lab hours for health assessment and fundamentals to 4 hours instead of 6. That will be nice, because 6 hours is a long time to be in lab and stay focused.