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Related: Culture Forums, Support ForumsI've got four full physical exams on my schedule for the afternoon.
Four patients coming in from our substance abuse treatment center for their admission physicals.
I'm going to spend the afternoon listening to people who habitually stick toxic substances into their arms tell me why they object to getting the flu vaccine...
In_The_Wind
(72,300 posts)Aristus
(66,307 posts)I convinced two of the three objectors to get their vaccines. The one holdout, I basically told him to get his health care somewhere else...
womanofthehills
(8,685 posts)Aristus
(66,307 posts)I examine them, and approve them for admission to the center. In most cases, I act as their primary care provider while they're in. If they refuse to get their vaccines, I just naturally assume they don't trust my medical judgment, and recommend they find another provider.
Dr Hobbitstein
(6,568 posts)In_The_Wind
(72,300 posts)Aristus
(66,307 posts)CaliforniaPeggy
(149,560 posts)You will have your very competent hands full with these.
I think you'll know what to do.
Best of luck anyway!
Ohiogal
(31,950 posts)My best friend's daughter is pregnant .... she refused to take the gestational diabetes test because she read that the solution they make you drink has some preservative in it.
But, a high risk pregnancy specialist convinced her that he could do a test if she ate a whole bunch of jelly beans instead! Now, don't jelly beans have artificial coloring?
womanofthehills
(8,685 posts)recommend 16 oz of orange juice. Why keep giving money to big Pharma.
You can get dye-free jelly beans. You only need to eat 28. Our US jellybeans could not be sold in many countries in Europe because of our food dyes.
Ohiogal
(31,950 posts)I wish I had known that before, I could have suggested it to my friend!
Dr Hobbitstein
(6,568 posts)Shes one of DUs resident anti-vaxxers.
demmiblue
(36,833 posts)dewsgirl
(14,961 posts)iscooterliberally
(2,860 posts)I got a tetanus shot too. I jokingly asked about rabies since my dog was scheduled for the vet on Saturday. The dog is 14 though and my vet said no more rabies shots for him due to his advanced age. It's not like he can chase any raccoons anymore. His top speed is about .5 mph. I was wondering why people don't get a rabies vaccine too, and I read that it could actually kill some folks. Apparently the margin for error was too high to make it worth doing. I'm not sure how true it is though since I read it on the 'interwebs'. I can only imagine the excuses your patients will come up with to avoid a full shot. I don't think I could ever do anything like heroin. I always have to look the other way when a health care pro sticks me with needle. It only hurts if I watch the needle go in. I could never do that by myself.
Aristus
(66,307 posts)They developed a vaccine against Yersinia pestis, or the black plague, a number of years ago. It wasn't very effective, and people suffered some pretty nasty side effects. So it was withdrawn.
CTyankee
(63,899 posts)You may know this, but speaking of the black plague, did you know it was that plague that caused the Italian Renaissance?
As an art historian I find this very interesting. The black plague was such a devastating thing and wiped out 1/3 of the pristine population in Florence. Those left had a better life because there was more wealth to spread around. It led to leisure and interest in art, which fueled demand for artists...and that is the beginning of that great Renaissance period.
Aristus
(66,307 posts)Huge history fan, especially in the ways medicine has affected the trajectory of history.
CTyankee
(63,899 posts)I sometimes wonder if my docs have that...they are fine doing what they do which is practice good medicine but it helps to have an expanded view also.
Oh, I got my flu shot. Also my shingles shot which EVERYBODY should get...I feel like an evangelist about that.
Aristus
(66,307 posts)With so many deaths among the working classes (the wealthy also died from the plague, but in fewer numbers as a percentage of the whole due to better medical care, nutrition, the availability of 'getaway' residences, etc.) that there was a continent-wide labor shortage. So skilled and unskilled workers were able to demand higher wages, and organized labor became more effective for negotiating for better working hours and so on. This led to the development of the middle class, as higher wages led to the ability to educate the next generation in well-paying professions.
CTyankee
(63,899 posts)the further development of art. The Mannerists followed (briefly) but then came the glorious Baroque era with its great, heroic work and the glorious architecture that still is Rome today. It was a time of Caravaggio and Bernini, great artists. I loved doing research on this era cuz I got to go to Italy so much. It was a peak moment in my life!
csziggy
(34,133 posts)This was after they were all exposed to rabies. A client's horse had died under mysterious circumstances - they came home, found a shed torn apart, fences damaged, and the horse dead. When the vet was cutting off the head to send into the state for testing, he cut his hand on the horse's tooth. The vet tech tried to help and was cut, too.
The horse was rabid and they thought it had gone into a frenzy at the end, causing all the destruction before it died. By then the vet's wife was exposed while helping to treat his cut. This was decades ago when treatments were not as effective or advanced.
By the end of it, the vet recommended/required all his clients get their horses vaccinated against rabies in addition the other diseases that horses are routinely given preventative measures against. Some clients objected but most agreed to protect their horses, themselves, and everyone who might be exposed.
dewsgirl
(14,961 posts)LisaL
(44,973 posts)iscooterliberally
(2,860 posts)I was just wondering why it wasn't given before like other vaccines. I see that someone further down mentioned that it is very expensive and since it can be administered after the fact for people there's no need to do it to everyone. That is a crazy story, but I'm glad everyone turned out OK (except for the poor horse!).
csziggy
(34,133 posts)Rabies vaccines for horses are expensive, but not hugely more than the other vaccines we get for ours. It costs less per horse for their vaccines than it does for the ones for our one cat.
LisaL
(44,973 posts)And it can also be given after the exposure. Which is why they don't do it for humans.
iscooterliberally
(2,860 posts)I sometimes wondered if I should just get it since there's all sorts of critters running around where I live. I have cats too and they do get into things. All my animals are vaccinated for rabies though. I hope there weren't any bad side effects for you. Thank you for the information!
LisaL
(44,973 posts)So getting the vaccine was really painful.
PJMcK
(22,023 posts)For myself.
I got my Flu shot.
I got my second shingles shot.
Anyone who doesn't get their routine vaccinations deserves their personal consequences... but the rest of us don't.
Get your shots, people! It's why they were developed.
I respect your practice and professionalism, Aristus.
Wellstone ruled
(34,661 posts)demmiblue
(36,833 posts)Aristus
(66,307 posts)Great day in the morning, people; victory is mine!
All vaccinated!
I drink from the keg of glory! Bring me the finest muffins and bagels in all the land...
demmiblue
(36,833 posts)This is a really strange reaction.
Aristus
(66,307 posts)To do what, he didn't say. But he thought vaccines came with a hand tattoo of 666, and was worried about it.
He must not have been that worried, because he agreed to get vaccinated.
iscooterliberally
(2,860 posts)I would just tell the patient that the 666 hand tattoo isn't covered by insurance and is very expensive.
Aristus
(66,307 posts)I'll have to remember that!...
eppur_se_muova
(36,256 posts)Kurt V.
(5,624 posts)except the needle thingy.
Skittles
(153,138 posts)Kurt V.
(5,624 posts)Skittles
(153,138 posts)It provides community protection, says William Schaffner, MD, medical director of the National Foundation for Infectious Diseases. Youre much less likely to spread the flu to others [if you get vaccinated]. You dont want to give it to someone at work, in your family, at the gym, at religious services. We get the flu vaccine for ourselves and also for everyone around us.
it's not just about YOU
Kurt V.
(5,624 posts)is different and researchers aren't sure why that is.
DONE here
Kurt V.
(5,624 posts)measure nobody says that nor should they. Educate yourself.
https://www.bionews.org.uk/page_93153
Aristus
(66,307 posts)"It's ME! I'm the exception! I'm the special one!"
It's like trying to eradicate crabgrass...
BluesRunTheGame
(1,610 posts)Not really. No side effects.
malthaussen
(17,183 posts)Duppers
(28,117 posts)Luck to you. 🍀
flotsam
(3,268 posts)Now this woman is over 70 years old and our old time GP (Pssst:he did house calls!) found a thyroid cancer while she was in her 20's and cut out the thyroid. Now nearly 50 years later she believes a shit ton of wacky shit and pushes "holistic" nonsense to the point she believes our brother who died of a cancerous brain tumor could have been saved if he ignored radiation and chemo and instead started a course of supplements...
OAITW r.2.0
(24,393 posts)What a great concept! Pre-screening and declogging the ER room is something that makes so much sense today. She gets to work out of the house and still do her work that she loves. Her husband is a 4th year resident at Lincoln Hospital in the Bronx (he's from the DR and is absolutely brilliant) ....and she gets to have her 3 YO at home with her. Win-win!
3catwoman3
(23,965 posts)...not-so-rational rationale that, "We never get the shot, and we've never had the flu." I simply said, "Past good luck is no guarantee of future success."
Some parents are starting to refuse the Vit K injection given to newborns to protect them against potentially serious bleeding that newborns are at risk for because they cannot manufacture their own vitamin K for about a week.
And now we have "Lotus birth," where people don't believe in cutting the umbilical cord and carry the placenta around in a shoulder bag, still attached to the baby, until it dries up and falls off on its own. One description I read stated that, "After a few days, the meaty smell attracted the attention of the family cat." I'll just bet it did.
Aristus
(66,307 posts)When did refusing medical care become so erroneously associated with 'enlightened' thinking?