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CONGRATS! I’m interested in knowing what the clinical component is like. Do you get to choose your own preceptor or clinical site?

Have you thought of out of hospital birth? I know people who become CNMs knowing they will never want to work in a hospital. This limits your options for employment, but could be very satisfying long term if you found a place you liked.

I’m sorry you are struggling. there is something called learned helplessness. It’s related to depression. The idea comes from some studies done by psychiatrists on animals who gave up swimming and let themselves drown If they were placed in water or refused escaping stressful situations even when they had the ability to. the studies imo have a lot to do with the way we respond to helpless situations as people. When all we know is stress and being treated poorly, we learn to live that way and accept it every single day. In fact we stay in those circumstances even when there is a way out. The upside to all of this is that the scientists studying learned helplessness found that even one experience of freedom took the animals out of their frozen state and re-energized their organism, allowing them to save themselves from the stressful situatio. With the help of a better environment and circumstances, the animals behavior changed completely. Maybe becoming a nurse will be your success story, your raft, your way out. Sometimes helping others helps us help ourselves. As far as mental health....a sense of purpose, meaning, and freedom can do amazing things for ones emotional and physical well being. I particularly like the work of Carl Rogers and person oriented therapy. His work has been very influential to nursing. Here’s an article from psychology today about the experiments I was referring to earlier in my posts: https://www.google.com/amp/s/www.psychologytoday.com/us/blog/kidding-ourselves/201405/the-remarkable-power-hope%3famp

I’m almost certain they would not ask for references unless they were interested in offering you a position. They are far to busy to ask for references unless they were considering you as a candidate.

https://www.frontiersin.org/articles/10.3389/fpsyt.2017.00003/full

You wrote just get vaccinated. I didn’t intend on misinterpreting what you meant.

There are many pediatricians that will adhere to a delayed vaccine schedule if the family requests. Nurses I work with have told me they chose delayed schedules for their children based on different conditions. Maybe it’s a geographical thing.

1) studies are not infallible, even ones held to the highest of standards and considered peer reviewed or reliable research. https://www.quotidianosanita.it/allegati/allegato9278745.pdf this link from 2018 on HPV research is especially concerning considering the HPV vaccine is now being given to 9 year olds. 2) I don’t want to harp on your previous comment but you seemed to be insinuating that people needed a certain level of intelligence and expertise to read a study or make an informed decision regarding vaccination schedules. People who hold degrees in psychology, sociology, anthropology, economics, etc. are required to take statistics. They are not health care professionals. Is the standard for interpreting a study having taken a college level statistics course? Interestingly enough, if we are to look at this from a sociocultural perspective, some of the most vehement opposition to CDC vaccine scheduling are the overeducated, socioeconomically privileged Silicon Valley tech parents. Delayed vaccination is popular among pediatric practices in places like Beverly Hills, Westchester county or the Upper East Side and goes with Montessori schools and organic clothing. These parents aren’t fast food industry workers. 3 + 4) glad we found common ground

Biologists have occasionally noticed that something they do to an individual organism, that doesn’t immediately cause major changes in its development and functions, will produce serious effects in its offspring, and then in the next genera- tion, lethal effects. A group in Russia fed Monsanto- tainted foods to hamsters, and found that the effects appearing in the first generation were more extreme in the second generation, including infertility, and that only a few survived in the third generation (Baranov, et al., 2010; Surov, et al., 2010; Maligin & Ermakova, 2009; Ermakova, 2008). The doctrine that cells are controlled by genes, that acquired changes aren’t inherited, has made many people think that it would be unreasonable to continue toxicity studies beyond the life span of an individual animal. The fact that epigenetic changes and transgenerational effects are now well documented, requires that environmental pollu- tion be interpreted in new ways. Many things that are now considered nontoxic and noncarcinogenic are likely to be harmful when exposure is extended transgenerationally. Impaired infant brain development, allergy, and autoimmune diseases are known to result from a great variety of causes, ranging from radiation to mild chronic stress. The dogma that our being is determined by our “genetic blue print” has guided social policy very broadly. Doctors and public health officials, not long ago, were saying that a pregnant woman’s malnutrition had no effect on her baby, if it managed to be born alive. If a substance didn’t produce genetic mutations when cells were briefly exposed to it, it couldn’t be carcinogenic. If a certain dose of radiation didn’t produce mutations, it was said to be harmless. The genetic dogma was highly political; people who challenged it were excluded from the discussion. Despite the institu- tional power behind the dogma, the implications of epigenesis are now coming to be recognized.

Science is a priori open to question and study by anyone. That's why it is science. Einstein worked out relativity and fundamental quantum physics on his clerk job lunch breaks. Can you show me a nursing or medical program where classes exclusively covering cell immunology and autoimmunity are part of the curriculum? Who are these experts and what qualifies one as such? Anyone who has taken a basic statistics class learns about confidence intervals and how to read a study. Statistics is a requirement for many undergraduate degrees that have a core curriculum. To consider a matter settled is the most anti scientific stance one can take. Our very understanding of reality is theoretical. All we have is data, method, statistical confidence, theory and speculation, until we learn the next thing. When citizens have legitimate concerns about risk involved, they have every right to informed consent or refusal of a vaccination.

If you want to be humored, go to a comedy show. But to make a joke of the concerns of actual people, parents, and families is more of a tragedy if you ask me. ITP, GBS, and transverse myelitis are just three confirmed autoimmune conditions with vaccination as a known etiology. I’ve shared several studies of autoimmune like syndromes after other vaccinations. Many autoimmune conditions are only just developing as a specific syndrome or condition and have remained undiagnosed and unrecognized for decades. The increasing knowledge on the potential involvement of inflammatory processes in mental disorders and the associations found between autoimmunity and psychotic disorders can help the expanding field of immuno-psychiatry and have impact on the outcome of patients. In the last couple of years, researchers have focused on the role of infections, autoantibodies and other immune components that plays a major role in autoimmune diseases. Potentially this might also be the case for mental disorders. Risk factors for both autoimmune diseases and schizophrenia includes an interaction between environmental factors, such as infections and stress, with genetic factors involving the HLA region. Autoimmune reactions with activation of immune components and the production of NSAbs can induce a broad spectrum of psychiatric symptoms, hereunder psychosis. The potential autoimmune-mediated psychosis group might only be a small part of a broader immune-related psychosis group, and an even smaller fraction of the overall psychosis group. However, identification of this subgroup might allow for precision medicine strategies where immune-based treatment could possibly improve the psychotic symptoms. A quick discovery and treatment of autoimmune encephalitis markedly reduces the neuropsychiatric sequelae, and intensive immunotherapy in lupus patients with psychosis massively benefits psychiatric symptoms (42, 121). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435494/ as the above study illustrates, there is an overlap between some psychotic symptoms and biological autoimmune events. The cross sections of neurology, immunology, and psychiatry are quite new and there is lots of research to be done. what specific studies would you consider to be the strongest case for infant immunity and T-cell production being adequate to deal with epitope crossreactivity and antiDNA antigens?

Ok you’re right. I don’t question her patient care because that’s not up for discussion. But I still stand by the belief that the average citizen is intelligent enough to discern and make sound decisions. And if I thought they weren’t, it would reflect the society and culture rather than the individual as a moron. This is actually at the heart of the vaccine debate, experts deciding people are too stupid to make decisions regarding their health based on recommended guidelines.

A major mask slip and hidden hate for the average human was also uncalled for. I don’t need an acronym after my name to advocate for humility.

If anyone should be referring to the general public as average morons it is definitely NOT nurses.

I wonder how many of your patients are “average morons off the street” and how exactly you treat them.

Except when that isn’t the case: Conclusions Waning levels of measles antibodies with increasing time post-vaccination suggests that measles susceptibility is potentially increasing in Korea. This trend may be related to limitations of vaccine-induced immunity in the absence of natural boosting by the wild virus, compared to naturally acquired immunity triggered by measles infection. This study provides an important view into the current measles herd immunity in Korea. https://www.sciencedirect.com/science/article/pii/S0264410X17308551 Secondary measles-vaccine failures are more common than was more previously thought, particularly among individuals vaccinated in early life, long ago, and among re-vaccinees. Waning immunity even among individuals vaccinated after 15 months of age, without the boosting effect of natural infections should be considered a relevant possibility in future planning of vaccination against measles. https://www.ncbi.nlm.nih.gov/m/pubmed/10813152/

2018: https://ebm.bmj.com/content/23/5/165.long Conclusion Part of the Cochrane Collaboration’s motto is ‘Trusted evidence’. We do not find the Cochrane HPV vaccine review to be ‘Trusted evidence’, as it was influenced by reporting bias and biased trial designs. We believe that the Cochrane review does not meet the standards for Cochrane reviews or the needs of the citizens or healthcare providers that consult Cochrane reviews to make ‘Informed decisions’, which also is part of Cochrane’s motto. We recommend that authors of Cochrane reviews make every effort to identify all trials and their limitations and conduct reviews accordingly.

Immunity has been established. Autoimmunity has been established. I suppose what you’ve been avoiding stating is that immunity is paramount, regardless of the present risk for autoimmunity involved. “Declines in unvaccinated women suggest herd protection,” or increased vigilance around HPV transmission related to the public health education available on the topic compared to pre-2008.

https://www.ncbi.nlm.nih.gov/m/pubmed/23902317/?i=6&from=/25427994/related CONCLUSION: We documented here the evidence of the potential of the HPV vaccine to trigger a life-disabling autoimmune condition. The increasing number of similar reports of post HPV vaccine-linked autoimmunity and the uncertainty of long-term clinical benefits of HPV vaccination are a matter of public health that warrants further rigorous inquiry. https://www.ncbi.nlm.nih.gov/m/pubmed/27406735/?i=5&from=/26125978/related As a consequence, an epidemiological assessment of the vaccine adverse event reporting system database was undertaken for adverse event reports associated with vaccines administered from 2006 to 2014 to 6-39 year-old recipients with a listed US residence and a specified female gender. Cases with the serious autoimmune adverse event (SAAE) outcomes of gastroenteritis (odds ratio (OR) 4.627, 95 % confidence interval (CI) 1.892-12.389), rheumatoid arthritis (OR 5.629, 95 % CI 2.809-12.039), thrombocytopenia (OR 2.178, 95 % CI 1.222-3.885), systemic lupus erythematosus (OR 7.626, 95 % CI 3.385-19.366), vasculitis (OR 3.420, 95 % CI 1.211-10.408), alopecia (OR 8.894, 95 % CI 6.255-12.914), CNS demyelinating conditions (OR 1.585, 95 % CI 1.129-2.213), ovarian damage (OR 14.961, 95 % CI 6.728-39.199), or irritable bowel syndrome (OR 10.021, 95 % CI 3.725-33.749) were significantly more likely than controls to have received HPV4 vaccine (median onset of initial symptoms ranged from 3 to 37 days post-HPV4 vaccination). https://www.cdc.gov/hpv/parents/vaccine.html Two doses of the HPV vaccine are recommended for all boys and girls at ages 11-12; the vaccine can be given as early as age 9. If you wait until they’re older, they may need three doses instead of two. Children who start the vaccine series on or after their 15th birthday need three shots given over 6 months. If your teen hasn’t gotten the vaccine yet, talk to his/her doctor about getting it as soon as possible.

My point remains that a measles outbreak could be spread by a non immune previously fully vaccinated individual such as myself.

None of the well controlled studies are listed. "Vaccines prevent disease and death". So does iodine. But it depends on the medium and chemical structure of how it is administered as medicine, the dosage, the age of the receiver etc. If you're not careful about those factors, iodine can cripple or kill you, ie CAUSE disease and death. The high titer measles EZ vaccine case demonstrates how different versions of a vaccine may cause different responses in male and female populations.

I had the MMR vaccine twice in a month and still am not immune to measles. Your anecdotal work experience is completely unscientific. Plenty of people are not immune to measles even after getting the complete scheduled series of vaccinations.

The biggest risk is the explicit and scientifically studied and proven FACT that autoimmune diseases and vaccines have a causal relationship. The second biggest risk is that infants have immature immune systems. To repeat for the third or fourth time: fewer memory T cells in a baby = less antigen specifity in the immune system processes = more epitope cross reactivity = the T cells and macrophages attacking neuron epitopes = autoimmune disaster in an infant.

I can do this all day. https://jamanetwork.com/journals/jamaneurology/fullarticle/800879 Results Four days following novel influenza A(H1N1) vaccination, the patient developed longitudinally extensive transverse myelitis. Extensive diagnostic evaluation effectively ruled out causes other than vaccination-associated transverse myelitis. Following treatment with corticosteroids and plasmapheresis, the patient made a significant recovery. Conclusions Transverse myelitis may be associated with vaccination against novel influenza A(H1N1). Additionally, we believe this to be the first report of longitudinally extensive transverse myelitis associated with any vaccine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010361/ In Pakistan and other developing countries, neural tissue sheep brain anti-rabies vaccines are widely used because they are cost-effective. Neural tissue sheep brain anti-rabies vaccines are associated with higher incidence of neurological complications like Guillain–Barre syndrome in comparison with the cell culture vaccines which have fewer side effects. It is therefore recommended that use of neural tissue sheep brain anti-rabies vaccines should be condemned, and instead, the use of cell culture vaccines should be encouraged for the post-exposure treatment of rabies. https://www.ncbi.nlm.nih.gov/m/pubmed/25427994/ This study suggests that in some cases CFS and FM can be temporally related to immunization, as part of ASIA syndrome. The appearance of adverse event during immunization, the presence of autoimmune susceptibility and higher titers of autoantibodies all can be suggested as risk factors. ASIA criteria were fulfilled in all patients eluding the plausible link between ASIA and CFS/FM.

You have disregarded every logical connection I’ve made and dismissed it as a “mistake” or selectively responded. A 30 year old study is still a valid study. Unfortunate that complexity is not your forte but that is the nature of reality.