Vaccine Adverse Event Reporting System (VAERS)

Anyone can report to the VAERS system.

Doctors may be a bit nervous about reporting covid-19 reactions. Doesn’t matter. You can report on your own.

That being said, I don’t recommend reporting if you feel like crap for a couple of days after the second shot. If it is severe, you need an ambulance or it goes on for more than say, five days, report.

The first shot is about 80% effective. So, 4 out of 5 people are protected, and 1 in 5 doesn’t take. After the second shot, about 95% are protected. That means 1:20 is not.

So if you responded to the first shot, you will have an antibody response to the second shot. I ran a fever of 102 for an hours and cancelled my day of work and the next day. You could have fever, chills, muscle aches, joint aches, whatever. Take a hot bath or sauna or hot tube, because you can sweat the antibodies out.

I would report reactions that last more than two days or are severe. You can fill the form out yourself online and send it to the CDC.

For the folks refusing the vaccine: Hello. Are you going to have covid-19 parties to infect each other? If you do and you get covid-19, I can tell you that I am glad I am not your doctor. Also I don’t want you in my house. I don’t want to be around you at the Farmer’s Market either. And I think that once everyone has had the opportunity to get the vaccine, if you refuse and get covid, you might have to pay your own doctor and hospital bill. Yeah, that is what I think. And if it bankrupts you: well, you had the opportunity to get the vaccine. Why should insurance have to pay? Or you might die. Death rate for world is holding at 2 out of 100. In the US it’s “only” 1.78 out of 100. That is a fungkload. It’s a lot of people. Choose not to get your vaccine and you could be one of them. I just found out this week that a friend from medical school died in November: age 59. Do not tell me it’s all 80 year old “who would have died anyway”. Each of us will die anyway and I don’t want to die of covid-19.

I took the photograph in medical school: it’s my fellow doctor who was found to have covid-19 after he died suddenly, age 59.

myalgic encephalopathy

Myalgic Encephalomyelitis, actually. I put encephalopathy on the Ragtag Daily Prompt, but …. my brain is still a bit fuxxy. Yeah, tried to type fuzzy. It’s sometimes annoying and sometimes funny. I have a little trouble with my balance, as if my proprioception is not quite working right. I have not fallen, but that is really my dance chops. All those years jitterbug dancing, I recover my balance very well. However, I am staying off of ladders for now.

The antibodies are annoying. The dopamine ones are down a little, which is a relief. I still spent 20 minutes this am organizing CDs into categories. This satisfies both the ADHD and the OCD bugs. I have four categories: women musicians, rock and blues, classical/ethnic and local/folk. Sometimes I don’t know where the hell to put a CD. Southern Culture on the Skids… hmm. Harry Connick jr…. double hmmm. I now have a pile of movie soundtracks and a pile of DUNNO. I have picked up CDs at garage sales when they are a dollar each. Random. Those are in a separate “listen to it and decide” pile. They could end up in the library box outside if I dislike them enough. There seems to be some rap, I don’t have tons of that. Punk, now, it gets filed with the rock except when it’s more Americana…..

I can lower the antibody levels with a hot bath. Tend to wait until I really have to eat, eat, then with the antibodies start poking me I have the hot bath. A sauna would help as would a hot tub. Dang. Where is my hot tub? I hurt a lot more if I eat gluten or get my blood sugar high. Sugar is bad. Rice is pretty ok, though muscles hurt afterwards. I’ve long since trashed my glycogen stores, so my blood sugar will drop back to ketosis within 2 hours instead of taking 2-3 days. Feels terrible while it is happening. I get really cold and achy and just feel like I am dying. Lie down, wrap up in a really warm pile of blankets. I feel the shift: lights get brighter, sound gets louder and the pain switches off. Then I get too hot and throw off the blankets and have some energy again. I still have to behave: any little thing like starting to trot up the stairs and OW, my chest starts hurting and I get short of breath. I am a little short of breath just being vertical. I am glad I am not bad enough to have to just lie in bed, that would fungking suck.

Hope you are well. Get the covid vaccine: it may well make you feel rotten, but covid 19 does the same thing only more so. I think that if I got covid 19 I would croak.

Ribbit.

Peace be with you.

biotics explained

Are you confused about BIOTICS? Is your neighbor taking more Mysterious Healthy Pills than you? We can help! We are marketers posing as scientists from Mega Super Good For You and the Planet CoreValuePoration! Look! We have white coats and ours are clean!

PROBIOTICS: These are GOOD and GOOD FOR YOU! You should take them, you should take ours! We have capsules and we stuff them full of good-for-you biotics. We don’t call them bacteria, because bacteria are gross and yuky and cause infections. You know ours are best because they are the most expensive, the health food co-op sells them, and they have to be refrigerated. Take one everyday! You can never have too many biotics in the teaming mass of millions in your gut!

Conbiotics: These are BAD FOR YOU! They are sold by the other companies. They lie. They get biotics from prisoners poop. They will turn you criminal. They will make you fight with your mother and disinherit your first born, lie, drink too much and cook meth. You will know they are conbiotics because they are cheaper and not refrigerated. And some of the biotics in their tablets are bacteria! Do you want to take bacteria? DEAD BACTERIA, they don’t even give you live ones.

Antibiotics: THESE KILL PROBIOTICS. BY THE MILLIONS. THESE ARE PASSE, OUT OF FASHION, EVIL AND YOU REALLY DON’T WANT THEM (unless you have strep throat or pneumonia or sepsis, and even then, the antibiotics suck because the sepsis mortality rate is 28-50%, THAT MEANS HALF THE SEPSIS VICTIMS DIE EVEN WITH ANTIBIOTICS, DOES THAT PROVE THEY SUCK OR WHAT?)

UNCLEBIOTICS: Now MEGA SUPER GOOD FOR YOU AND THE PLANET COREVALUEPORATION is developing THE NEWEST AND BEST BIOTICS OF ALL! UNCLEBIOTICS ARE BETTER THAN ANTIBIOTICS BECAUSE THEY ARE MALE AND UNCLES ARE MORE FUN AND RARER THAN AUNTS AND THEY ARE WAY LESS LIKELY TO HUG YOU INTO WEIRD SMELLING BOSOMS, except that uncle that wears the boa and the weight lifter uncle, too many illegal steroids, he has fine manboobs.

SUBSCRIBE TODAY TO OUR MONTHLY POOBIOTIC, WE MEAN PROBIOTIC SERVICE AND YOU WILL RECEIVE FREE SAMPLES OF UNCLEBIOTICS AS FAST AS WE CAN GET THE UNCLES TO POO AND THE RATS TO SURVIVE THE CAPSULES.

All ingredients generally recognized as safe http://www.fda.gov/Food/IngredientsPackagingLabeling/GRAS/, you should listen to us, don’t listen to your mama, she says “Don’t eat poo!” but what do mamas know, Mother’s Day is so OVER for the year and we have WHITE COATS!

Deep Vein Thrombosis

Our clinic had a band back before 2009. Me and 4 of the nurses. We were into heavy metal. This was when I was working for Port Townsend Family Physicians. The county let me go and PTFP changed their name. Could not have been because we wore our band regalia to work, right? After all, it was Halloween.

Maybe they were afraid that the songs would catch on.

Little blue pill

Don’t code in the waiting room

Evidence based BM

Probiotics make you psychotic

Better that way

Alcohol is better than benzos

Mr. Sable is Unable

Buprenorphine: better n morphine

EMR means Eat My Rear

The 18 Patient Blues

Idaho Gigolo

I played flute and saw. J played fiddle and air siren. The others, well, you should ask them. I think all the tapes got burned by the hospital. Too bad, so sad.

I can’t credit the photographer. I don’t know who took it.

Quota

Quota

honestly
I feelΒ despair
when I try
to think about the newΒ schedule

Twenty four slots
Of 20 minutes
See three people
For 40 minutes
Twenty on the schedule

UnansweredΒ questions
Wake me on Sunday morning
If I am called to a labor patient
Must I make up that clinicΒ face time?
What ofΒ holidays?
The clinic is closed.
Night callΒ is nowhere addressed
Will they hire more and more
Who don’t take call
Until I am the last woman standing
Red rimmed eyes staring
Numb with fatigue

What of my nearly deaf patient
WhoΒ reads lips
May we take forty minutes?
All the fairly deaf elderly?
New parents, anxious
Questions pour out like
Coins from a jackpot win
What of the tearfulΒ brokenhearted
And anxious?
I shrink at the thought
Of crushing their hearts
Into twenty minutes

And what if I’mΒ sick?
(sick leave & vacation all one)
It’s not aΒ holidayΒ if I’m on call
No make-up day off
If I cancelΒ clinic
For illness
Do I make up those days
A quota of patient face days

I am in theΒ factory
TheΒ mines
People are the shirts I must sew
TheΒ tons of coalΒ I must load
I mustΒ meet a quota

Doctors die younger
Our life is measured out
InΒ patients
I won’t let theΒ quota
KillΒ my love

vagrant

For the Ragtag Daily Prompt: vagrant.

A vagrant can be “a person without a settled home or regular work who wanders from place to place and lives by begging.”

Right now, our local Legion is helping the local Coast Guard employees who are not getting their paychecks, by giving them 1300 gift cards for $100 for food. The story is here.

I am angry that our government is locked up, that 800,000 people are not able to work or are working without pay, and that another twice that number contract with the government. They will not get back pay.

The photograph is not the Coast Guard, it is a zoom of Indian Island.

The employees furloughed have been invited to the Food Bank. I think Congress and the President should donate their salaries, no, not salaries but their INCOME to all the people they’ve affected until the shut down ends. How dare they make vagrants of honest workers.

I voted

…after I spent about three hours going through paper and throwing it out… ok, like a total numbskull I mislaid my ballot. Have you mislaid your ballot? FIND IT! VOTE!

” …that government of the people, by the people, for the people, shall not perish from the earth.

When I went across the country as a Mad as Hell Doctor in 2009, we talked to people everywhere. I joined the group in Seattle. I had never met any of them and had only heard about them two weeks before. But we were on the road, talking about health care, talking about single payer healthcare, talking about Medicare for All.

Some people said, “I don’t want the government in healthcare.”

We would ask, “Are you against medicare?” “No!” “Medicaid?” “No!” “Active duty military health care?” “No! We must take care of our active duty!” “Veterans?”Β  “No! They have earned it!”

…but those are all administered by the government. More than half of health care in the US. So let’s go forward: let’s all join together and have Medicare for ALL! And if you don’t agree… so you don’t think you should vote? Hmmm, I am wrestling my conscience here….

We need one system, without 20 cents of every insurance paid dollar going to health insurance profit and advertising and refusing care and building 500++ websites that really, I do not have time to learn and that change all the time anyhow. How about ONE website? How about ONE set of rules? We are losing doctors. It’s not just me worrying: it’s in the latest issue of the American Academy of Family Practice.

Vote. For your health and for your neighbor’s health.

____________________________________________

Physicians for a National Healthcare Progam: http://pnhp.org/

Healthcare Now: https://www.healthcare-now.org/

I can’t credit the photograph, because I don’t remember who took it…. or if it was with my camera or phone or someone else’s! But thank you, whoever you are!

speaking up 4

For the Ragtag Daily Prompt: sequelae. We don’t know what the sequelae to the Supreme Court vote is yet. But I am not going to stop speaking up and I hope more women speak up. And girls. So here are two experiences when I was a girl.

I start grade school in upstate New York. I am at the Northeast School. I don’t remember tons about it, except that it has ramps instead of stairs. I am failing to learn to read with phonics, which make no sense to me.

In first grade, I need to go to the bathroom. My teacher gives me a hall pass. This is not a kindergarten privilege.

Outside the girls’ bathroom are two boys. They are older than me. I don’t know them.

“You can’t go in unless you show us your underwear.”

I am wearing a dress. I stare at them.

“Show us your underwear.”

I go back around the corner and wait. Hoping they will leave. They don’t.

I need to go. I go and lift my skirt for a second, humiliation as they laugh. I hurry in to the bathroom.

I go back to the classroom.

I never go to the bathroom during class again. I am careful. I go before class starts and at lunch.

And I’ve never told anyone until now. And this was a grade school. How were the boys acculturated to behave this way already in grade school? And does this still go on? All the girls in my daughter’s school quit wearing skirts by second grade. Jeans only.

We move before fourth grade to another town.

The boundaries for the school districts change before sixth grade and I am bussed to a new grade school.

On the bus, a boy starts harassing me. I don’t know him.

“Show me your underwear.” he says. The other kids are watching.

I don’t answer, glare at him with scorn.

Each day he escalates.

“Show me your underwear.”

I pull a pair out of my bag the fourth day. “There. Now you’ve seen some.”

The other kids laugh, but it’s not enough. He keeps hassling me.

He starts reaching for my skirt from the seat in front of me.

I’ve had it. I play flute. But I also play piccolo.

The next day he starts up, “Show me your underwear.” He reaches towards my skirt from the seat in front. I have my hard piccolo case in both hands. I smash his hand as hard as I can, against the bus seat.

He screams and pulls his hand away, clutching it.

The bus driver looks in the mirror. He doesn’t slow down or stop.

The boy never bothers me again. And neither does anyone else on that bus.

____________________________________

I took the photograph when school started this year. This is our “city” bus. The Redhawks are our football team. I can’t think that football is good for us, but I thank the adults for this support for the high school students…..

Music gives me hope: this.

crossroads

Regardless of how the vote goes, I will keep speaking up.

It is so painful to have woman after woman saying, “I have stories too.”

And to the “nice” men who say, “I can’t believe that sort of thing. I can’t read about it. It hurts too much.” YOU are silencing too. YOU are part of the problem. As long as YOU refuse to listen, refuse to speak up, refuse to read about it: YOU PRETEND TO YOURSELF THAT IT IS NOT HAPPENING TO YOUR WIFE, YOUR SISTER, YOUR MOTHER, YOUR DAUGHTER. YOU PRETEND THAT IT ONLY HAPPENS TO “THOSE” WOMEN, THAT THEY ARE FEW, THAT IF THEY HAD TAKEN PRECAUTIONS IT WOULD NOT HAVE HAPPENED, THAT YOU ARE PROTECTING “YOUR” WOMEN.

Speak up, “nice” men. Are you ASKING the women in your life? Or are you silencing them?

Sweet Honey in the Rock: Joanne Little.