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Covid-19: Vaccines, Boosters, and Outpatient Therapies

  Рет қаралды 41,961

UCSF Department of Medicine

UCSF Department of Medicine

Күн бұрын

Пікірлер: 126
@Kay-qt2id
@Kay-qt2id 2 жыл бұрын
I’m a lay person in Melbourne and find these discussions really helpful in understanding the reasons why decisions are made thank you
@woxnerw
@woxnerw 2 жыл бұрын
You can be 99.9% sure that if these elite medical people discover a Natural immune blood sample to this virus they will be looking as to why this person didn't get the VIRUS and do their best to discover why this is.. and then produce a Vaccine that will alter this next generation of Vaccines to kill those person's immune systems..
@DS-nb5cz
@DS-nb5cz 2 жыл бұрын
fatigue could mean so many things: lassitude, PEM, myalgia, encephalopathy, orthostatic intolerance, heat intolerance, poor endurance, hypoxia, etc...depending on the causes (i.e. end organ damage, mitochondrial dysfunction, autoimmune and inflammatory processes) and the triggers. looking forward to hearing more about LC. great talk thank you.
@TeyunaSe
@TeyunaSe 2 жыл бұрын
I appreciate that they have discussed how important it is to realize that there ARE risks associated with vaccines, and to consider our decisions about "frequent boostings" in light of both data and in light of our own personal risk factors, either for long covid or for vaccine complications.
@MK-ih6wp
@MK-ih6wp 2 жыл бұрын
Have you heard of LH after the V?
@TeyunaSe
@TeyunaSe 2 жыл бұрын
@@MK-ih6wp ~~ what is "LH?"
@angelarose6602
@angelarose6602 2 жыл бұрын
@@MK-ih6wp less healthy
@Lp78Ch
@Lp78Ch 2 жыл бұрын
Censorship is alive and well.
@vespahandle
@vespahandle 2 жыл бұрын
Why does everyone refer to mild issues when long COVID is nothing close to mild.
@beverlyanello9099
@beverlyanello9099 2 жыл бұрын
I appreciate having the transcript. (Some sentences end in a fade that I cannot hear) I find these sessions valuable in understanding new information I hear about this disease.
@MK-ih6wp
@MK-ih6wp 2 жыл бұрын
30:50 I am so sad Dr. Offit would say that. It's not about L or R.
@markgivens3225
@markgivens3225 2 жыл бұрын
For viable public health strategy, prevention/limit of infection, what is wrong with the idea of good public health communication about immune system health, largely through nutrition and lifestyle? Such communication may include prebiotic, probiotic, gut microbiome, vitamin D, K2, perhaps zinc and associated ionophore (eg quercetin), melatonin, healthy exercise, outside time and good sleep (perhaps more or different based on best current knowledge). There may also be a role for steam/lavage of nasal and throat (mouth wash gargle , etc.). Consider public health messages in this direction for any people who are exposed or been in crowds. (Kind of like inspecting for ticks after a hike.)
@ythesap
@ythesap 2 жыл бұрын
As soon as medical industrial complex finds it profitable.
@callmebyyourname8332
@callmebyyourname8332 2 жыл бұрын
Good suggestions, but lifestyle changes are hard for people to make and are not immediate in effect. So I think we are left with pharmaceutical interventions for most people.
@ythesap
@ythesap 2 жыл бұрын
Wow this is kind of freaky. The original comment by Mark Given carried a very different message, now it's edited. Why the change, regret or fear?
@markgivens3225
@markgivens3225 2 жыл бұрын
@ad. I do not recall making any edits. And the message seems consistent with something I would say. Sometimes I may say it more assertively.
@missheidi5734
@missheidi5734 2 жыл бұрын
As much as I am frustrated about the flippant attitudes that some people have towards COVID and how it will affect our overall progress, I am equally frustrated for our immunocompromised patients. All hospitals (regardless of what level) should require those working with immunocompromised patients have a N95 fitted. I accompanied a Stage 4 cancer patient to their chemo session and the nurse helping with their care was wearing a paper mask and it was obvious she had congestion (coughing under her mask).I get that there is a widespread care shortage but that doesn’t mean care should be compromised. If we know paper masks are ineffective, why aren’t hospital staff required to wear well fitted n-95’s?
@traditionalgirl5585
@traditionalgirl5585 2 жыл бұрын
You're a fool.. open your damn eyes. We are in a whirlwind of lies.
@PetsNPatients
@PetsNPatients 2 жыл бұрын
Need more evidence based studies..release ALL data.
@cantweallgetalong
@cantweallgetalong 2 жыл бұрын
These video interviews are so valuable at exposing just how bizarre and unethical our most highly regarded doctors are. When you hear them make so many unsupportable and down right dangerous suggestions, it gives me a whole new level of distrust of any doctor.
@jameskringlee8974
@jameskringlee8974 2 жыл бұрын
SMART WAY TO TELL THE TRUTH
@Christian-jx3nx
@Christian-jx3nx 2 жыл бұрын
Me too. Letting people stay home until they were dying then telling them to go to the hospital without any treatment by their doctors was a first clue.
@cantweallgetalong
@cantweallgetalong Жыл бұрын
@@Christian-jx3nx Don't forget the approved FDA and CDC hospital treatment was to wait till the patient couldn't breath, then intubate with a ventilator. They actually thought they could use high pressure to force O2 into their heavily contaminated and congested lungs filled with spike proteins. This treatment would rupture the delicate lung alveoli, further damaging their health and vulnerability. Next they would infuse into their blood a toxic drug called remdisavir, that killed both the kidneys and the liver. Without any evidence or trial study success they poisoned people and said they died of covid. At that point, the hospital qualified for federal funds as much as $100K for the dead patient.
@Favorite-catNip
@Favorite-catNip 2 жыл бұрын
I've a aged parent. New booster charged $380.00 To insurance. What kind of crap is that. If it only lasts 20 weeks that's STUPIDITY.
@doctorrobert60
@doctorrobert60 2 жыл бұрын
The discussion has not really focused on the cost of vaccines and therapeutics. We all pay for the vaccines since funded by the Federal Government. I agree with you. Also the cost of 5 day course of Paxlovid is over $500 which is outrageous so giving to low risk patient even if great supply is available is stupid.
@rpStan
@rpStan 2 жыл бұрын
In Europe all free up to 4th shot
@rpStan
@rpStan 2 жыл бұрын
@@doctorrobert60 but its a 15 $ vaccine NOT 100s
@originalkk882
@originalkk882 2 жыл бұрын
@Martin P Free? Pfizer is charging the UK government at least £25 a shot for the vaccine, plus GPs are getting c£15 aime to give the jab. Taxpayers are funding this nonsense.
@MK-ih6wp
@MK-ih6wp 2 жыл бұрын
Wait, where do you live? In USA they are charging you for the jabs? Doesn't sound right.
@daihsenyang6751
@daihsenyang6751 2 жыл бұрын
Me and my husband both are Not vaccinated and we contracted Omicron recently and our symptoms are mild. We are very worried on the vaccines and worried about the adverse and long term effects from the vaccine
@cantweallgetalong
@cantweallgetalong 2 жыл бұрын
Are you feeling good about now having natural immunity? You are very lucky. Very smart move to avoid the ridiculous jab.
@walnutparent
@walnutparent 2 жыл бұрын
@@cantweallgetalong We post to recover within one or two days of the symptoms and we don’t seem to have any symptoms of Long Covid We take a lot of Supplements CD3 zinc NAC, and others they all seem helping!
@cantweallgetalong
@cantweallgetalong 2 жыл бұрын
@@walnutparent I'm so glad for you. It seems that the recommended supplements are a very good idea. I too keep up my daily regimen of C and zinc and D3 as well as K2, but i need to research NAC.
@Lp78Ch
@Lp78Ch 2 жыл бұрын
@@cantweallgetalong NAC is a godsend. Absolutely miraculous product.
@pfishkin
@pfishkin 2 жыл бұрын
Outstanding discussion. Thanks to all 4 speakers for keeping us informed.
@traiandanciu8139
@traiandanciu8139 2 жыл бұрын
Did SARS COV2 infection induce low temperature agglutinine like micoplasma infection? Why radiologic aspect of mycoplasmatic pneumonia look like SARS COV2 pneumonia?
@dkao5826
@dkao5826 2 жыл бұрын
Thank you for an excellent grand rounds.
@koyamamoto5933
@koyamamoto5933 2 жыл бұрын
Dr Doernberg's sound often drops out. Makes it hard to understand some of her comments. On a different area, are there ways for the general public (or Drs for that matter) to learn what their levels of neutralizing antibodies or relevant B cells, etc are? How practical for widespread use are those methods? Overall, great presentations & discussions. Thank you.
@Cathy-xi8cb
@Cathy-xi8cb 2 жыл бұрын
No, they are not practical. Not affordable either. Not a reliable predictor of protection from infection either, since they made it abundantly clear that you can, and likely will, become infected with the newer and highly contagious variants even if vaccinated.
@grannym5094
@grannym5094 Жыл бұрын
Why should it matter to a university (or any other place) whether the students, or anybody for that matter, are vaccinated or not? It doesn’t protect anyone else, only the person who is vaccinated (to whatever degree and extent) supposedly from severe illness (not from getting the disease). Help me understand this!
@traiandanciu8139
@traiandanciu8139 2 жыл бұрын
Did we know at what tissue temperature did SARS COV2 better replicate? At TWiV659 at min.29 (sept.2020) Christian Drosten indicate very low temperature better to replicate SARS COV2.
@kw7807
@kw7807 2 жыл бұрын
Great to hear Prof Offitt
@talega1
@talega1 2 жыл бұрын
WHO published new data on deaths, and the US is very, very high......: I all but wonder if it is due to the obsession with using Remdesivir; Gilead is making money and probably distributing it nicely amongst it's $hills. Three articles published this week show that Remdesivir does NOT work, one from Canada, one in Lancet and one from Brasil (same source that showed HCQ and IVM does not work.......Remdesivir is in that pile) BUT for the time being, it's used at $5K per patient treated........ SCAM
@mumbai3899
@mumbai3899 2 жыл бұрын
Since HCQ is interacting with Remdesevir can be an explanation for HCQ failure
@patrickhaarhues2870
@patrickhaarhues2870 2 жыл бұрын
I’ve worked in Covid units for last 2 years. I’m not sure remdecivir was that helpful. Steroids and anticoagulation was main treatments. I think our protocols should have allowed for much higher steroid doses.
@kw7807
@kw7807 2 жыл бұрын
@@patrickhaarhues2870 data shifted on that regard steroids.
@cantweallgetalong
@cantweallgetalong 2 жыл бұрын
@@patrickhaarhues2870 I'm not familiar with any reports of safety and efficacy of remdecivir? Other than the CDC and FDA, with their horrendous guide lines, I think most doctors will admit that the damage caused to the kidneys and liver kill the patient before the covid can.
@jameskringlee8974
@jameskringlee8974 2 жыл бұрын
@@kw7807 WRONG - PROPER STEROID DOSING AND BEST STEROID TO USE WAS KNOW, TESTIFIED TO BEFORE CONGRESS AND IGNORED
@tridiep9906
@tridiep9906 2 жыл бұрын
Thank for share
@traiandanciu8139
@traiandanciu8139 2 жыл бұрын
At TWiV 659 at min29 Christian Drosten indicate low tissue temperature better to replicate SARS COV2. May be low fever induced by SARS COV2 infection must not be decreased by use of analgezic antipiretic drugs?
@tomtracy5396
@tomtracy5396 2 жыл бұрын
Thank u for this helpful program!!
@nicemessi6031
@nicemessi6031 2 жыл бұрын
Good vedio
@ianlight91
@ianlight91 2 жыл бұрын
Do severe initial symptoms high fever inability to swallow because of sore throat prostation severe cough voming and diahrea predict deterioration to severe disease and cause Emergency Obtainment of Paxlovid IV Remdesivir and Bebtalovamib with hospital admission ?
@rmclb1
@rmclb1 2 жыл бұрын
We fully vaccinated older people who seem to risk mild, moderate and even severe disease need a direct answer the advisability of getting continual boosters. Dr Offit didn’t answer my question. Pointing out that vaccination isn’t risk free for younger people is beside the point. It seems obvious that a 76 year old should regularly get shots.
@Ricky-bl7yz
@Ricky-bl7yz 2 жыл бұрын
I would agree that he didn’t do the best job answering that particular question. However there’s still no clear data to suggest that there would be clear benefits for additional boosters in terms of severe disease if those doses are indeed “boosters” and not additional doses for “primary series”. That being said if the third dose or the fourth dose is actually more of an “additional dose for primary series” meaning that one actually needs that many doses in order to generate enough memory cells. If that’s the case, I think there’s little argument against those doses being recommendable. Issue to that is the number of doses that’s required for an individual can be largely varied by: age, underlying health conditions, medications that the person takes etc. I believe that’s also the reason why he was saying that we need more clear recommendations of number of doses for different groups, however it’s quite hard to give an easy clear cut one size fits all recommendations, academically speaking
@BradBanko
@BradBanko 2 жыл бұрын
Nothing is obvious without data
@Cathy-xi8cb
@Cathy-xi8cb 2 жыл бұрын
They cannot recommend before they have clear data. Your provider is your best source of information because they should know your particular risk profile. What we do know is that the death rates for people over 75 are far and away a multiple of death rates for people under 75 for the last 2 months in states in which the BA variant is predominant, such as NY and MA.
@christopherrobinson7541
@christopherrobinson7541 2 жыл бұрын
@@Cathy-xi8cb The UK has decided to offer the 75+ age group a 4th dose. The original plan was to lower this age to 70, but this has been postponed. The 4th dose increases the antibody levels which can improve the performance of the innate immune system if infected. I think that the most likely Mechanism of Action (MoA), is that the antibodies enable the complement system to be activated by the classical pathway. Hence the innate immune system can enange more readily with the virus and dampen the infection while waiting for the adaptive response to develop.
@jobowen2
@jobowen2 2 жыл бұрын
There is no super strong version of Covid vaccine. But over 75 year olds with greatly diminished ability to create innate antibodies have choices with Flu vaccines designed for that diminished ability. So, over 75 year olds are unlikely to escape endless repeat shots to keep up antibodies. Best choice in my opinion would be to give EVERYONE over 65 or 70 Evusheld every 6 months.
@ssun1218
@ssun1218 2 жыл бұрын
Thank you for asking the questions that I wanted to ask as well!
@ccahua
@ccahua 2 жыл бұрын
:-) Same here! Dr. Wachter's probing questions are always welcome to distinguish between public health policy and individual risk assessment. In a world of unknowns and pending data, sounds like we're in it for the long haul so it was helpful to know how the panelists actually manage personally and for their patients.
@traiandanciu8139
@traiandanciu8139 2 жыл бұрын
May be ,to be safe ,mARN vaccine must injected strict intramuscular, to avoid blood spread of lyposomes. May be ,,aspirate before inject,, technique, and avoiding of use deltoid muscle, avoid ,,accidental,, spread. To avoid muscular deltoid contraction may be ,we can use an ,,arm sling,,(contenting scarf) ,like after shoulder luxation ,(some hours.)(??)
@johnchase2148
@johnchase2148 2 жыл бұрын
Does anybody want to study symptoms from Sars 1, it is almost decades. Looking for an honest believer.
@cantweallgetalong
@cantweallgetalong 2 жыл бұрын
"People are confused by boosters". Oh really, people are confused?
@cantweallgetalong
@cantweallgetalong 2 жыл бұрын
"What's taken so long to get the jab for 1-5 year olds"? Are you serious? Normal healthy children don't need it. They will develop their own natural immunity and not be subject to this experiment. Hybrid immunity is better? Show the data that supports that ignorant claim? Shall we ask Dr Offits favorite CDC director Walensky?
@Turtledove2009
@Turtledove2009 2 жыл бұрын
Very good and useful discussion. Thank you very much.
@deemuacollins5219
@deemuacollins5219 2 жыл бұрын
Your thoughtfulness did change the world, some would say some sicknesses or dieseases cannot be cured with or without a doctor's prescription,but you Dr Obulor did prove them all wrong now that there is a cure for Hiv, I can't thank you less.
@Lp78Ch
@Lp78Ch 2 жыл бұрын
Did you know that the COVID-19 vaccines can cause AIDS?????????
@traditionalgirl5585
@traditionalgirl5585 2 жыл бұрын
EVIL
@patriciahoke4722
@patriciahoke4722 2 жыл бұрын
Whoa -- did Dr W tweet that he might have flown his Covid + wife on a plane had the mask mandate still been in place?!?
@jillkismet1503
@jillkismet1503 2 жыл бұрын
Thank you. Dr. Offit has remarkably casual judgements about long-term effects of people getting re-occurring Covid, he even sounds like Long Covid is speculative. Lastly, discounting children and the elderly is frustrating-and I am not even a child or elderly. As a scientist myself I had very little empathy while conducting my research, I imagine he can't see what he can't see (I honor that).
@goodcomrade4231
@goodcomrade4231 2 жыл бұрын
I stopped watching right at 3:58 after Offit said the goal of the covid vaccine is to prevent serious illness. That's a lie. The goal of course was to prevent infection, which is why Biden said to the whole nation you won't get COVID if you get these vaccinations. They failed the goal, so they changed the goal along with the definition for "vaccine" LOL. Offit can't be honest about that fact. He disrespected the viewers. Who does he think he is "educating"? So I stopped wasting my time after the first (almost) 4 min.
@Cathy-xi8cb
@Cathy-xi8cb 2 жыл бұрын
Offit is saying that long COVID appears to be more than one disease process. He isn't denying it as a problem at all. This is clear when you consider that they are looking at people who were in the ICU, never even went to the ER, are able to work but not go to the gym, and people who are bed-bound. Too many differences in disease experience and progression of recovery post-infection. He is not speaking as a treating clinician. Public health policy isn't the same as an individual's actions.
@marialumena
@marialumena Жыл бұрын
Maybe it would help if you actually listed to him
@jillkismet1503
@jillkismet1503 Жыл бұрын
Your answer is terribly helpful. So glad your relying to clinician comments!
@jillkismet1503
@jillkismet1503 Жыл бұрын
Luckily I am a clinician. Thank you for the reply!
@revpgesqredux
@revpgesqredux 2 жыл бұрын
Grow a spine and some balls you hirelings.
@jeangustin3227
@jeangustin3227 2 жыл бұрын
Would you bet your child's life on this?
@MK-ih6wp
@MK-ih6wp 2 жыл бұрын
No.
@Cathy-xi8cb
@Cathy-xi8cb 2 жыл бұрын
You have never treated someone with Post-Polio syndrome. I have. The defeated look in their eyes as the disease they survived in childhood rips away their ability to walk and hold a spoon in old age is striking. They would have given anything not to have been infected and survived, only to be crippled by the sequelae.
@MK-ih6wp
@MK-ih6wp 2 жыл бұрын
@@Cathy-xi8cb Are you sure they didn't contract polio from the vaccine?
@Cathy-xi8cb
@Cathy-xi8cb 2 жыл бұрын
@@MK-ih6wp The patients I treated contracted polio in the 1940's. The vaccine was invented in the 1950's. So...no.
@Lp78Ch
@Lp78Ch 2 жыл бұрын
@@Cathy-xi8cb Are you seriously comparing the polio vaccine to these experimental gene therapy shots mis-labelled on purpose as "vaccines"?????
@jaxel45
@jaxel45 2 жыл бұрын
💉=☠️
@AaronDuckFish
@AaronDuckFish 2 жыл бұрын
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