To Vaccinate or Not---The Rat Flu Odyssey Continues

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Originally Posted by GoldMember

Kind of along these lines, a coworker of mine's wife is an ICU Covid nurse. She's been wracked by all this, having had patients die alone, etc.. Anyway, she's scheduled for her first shot next Tuesday. I was surprised that she didn't already have it. Seems the Administration and their office staff already got theirs but the frontline staff didn't get scheduled until after the first group. Nice...

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I'm a full time COVID ICU Nurse at a Level 1 Academic Medical Center and I very nearly missed out on the first batch, which would have bumped me past January 4th. Their system broke down and even though we were giving shots 14 hours a day, I wasn't given a spot. I had to call my manager on a friday night and make a big stink. She called our service line director who said I could come in right then. I think it was more just cluster-fuckery than prioritizing the wrong people but still. The rollout was not well organised, and based on how the rest of this has been handled by my hospital I'm really not surprised. Cutting staff back to the bare minimum in every dept. has been the MO for years and now it's biting us in the ass worse than ever. Well, my ass, not admin. All that said, we started vaccinating on the 15th, I got mine on the 18th, and now 40% of our clinical staff, 6500 people have gotten their first dose. So overall the news is good.

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Originally Posted by shroom

i know of an optometry office in NE WA where only the doc agreed to take the shot

the age of arrogance

https://www.nytimes.com/2020/09/30/u...formation.html

https://onlinelibrary.wiley.com/doi/...1111/jan.14369

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Originally Posted by skaredshtles

Perhaps the doc should make the vaccine a condition of employment. Assuming it's his/her office. I'd be inclined to do it if I was an employer...

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This is starting to become a real problem in rural areas. Healthcare workers are leaving in droves due to being shunned and even threatened by conspiracy theory assholes.

https://www.npr.org/2020/12/28/95086...from-small-tow

Edit- I had a pretty bad headache for a couple days starting about 24 hours out. Worth it.

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Originally Posted by GoldMember

ETA: Out of curiosity, I looked for stories on the roll-out for this organization. For this hospital in particular, they received the vaccine a week ago with shots starting that day. In the story, they claimed that frontline staff such as ICU, ER, so forth would be first in line with administration to get it later. You would assume that within a week, the frontline staff would have received their shots by now. As it is, it appears my coworker's wife will be one day short of a full two weeks from the date of the story. Something is awry.

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I don't know shit about fuck, but I was under the impression that many institutions were spreading out vaccinations for front line staff over a week or two, to avoid any issue with a large number of people calling in sick due to short-term side effects of getting vaccinated. If all of your ER nurses stay home for a day or two with mild vaccine related symptoms, that's not ideal.

Assuming the hospital had enough doses to cover at risk staff as well as administration, it doesn't seem unreasonable for administration to get their doses while the more at risk staff is getting theirs on whatever schedule is appropriate for staffing related concerns.

yeah " Toxic individualism " thats what I'm talking about

https://www.npr.org/2020/12/28/95086...from-small-tow

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Originally Posted by Summit

What the hell kind of leadership is that???

I work for more than one organization. None of that BS happened. Patient care providers were first. Hospital staff and leaders that didn't do direct care were all week 2 or 3.

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Stanford residents briefly went on strike after they were left out of the first wave while work-from-home attendings got it.
AFAIC only HCW's who do direct patient care--I consider custodial services to be direct patient care--should be in the highest priority. People who do not do direct patient care should not be in patient care areas. Newsom and Cuomo among others have threatened consequences if people are vaccinated out of turn. I hope those are not idle threats. Someone needs to be made an example of.

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Originally Posted by Buster Highmen

In NT, there's a graphics driver model where the display driver (which translates the GDI or D3D apis into device specific drawing commands) in user mode needs to communicate with the miniport which has access to the device memory in kernel mode. In OpenGL parlance, this is an ICD driver. The idea is that the display driver fills a memory buffer with drawing commands, then tells the miniport to consume that block of memory, usually via some sort of DMA variant.

In order to reuse that buffer efficiently, the display driver needs to know when the device has consumed the memory. In *nix, signal() can do that, but NT has no such mechanism. Since virtually all graphics devices expose an interrupt mechanism that can be programmed to raise when a buffer is consumed , the trick was to hook up that hardware level bit to some NT based alert mechanism. So, there's a way to create user mode events and pass them down into kernel mode where they can be converted into an underlying kernel mode event synchronization object.

The part of an OS that gets called to handle an interrupt, called an Interrupt Service Routine (ISR), in NT can't access synchronization objects like kernel mode events. So there's another widget down in the NT kernel called a Deferred Procedure Call (DPC) that can set the kernel mode event and a DPC can be scheduled to run from an ISR.

There's a bunch of other decorations about locking down user mode memory so it's not pageable, but the basic idea is to associate a user mode event handle to a surface and let the Display Driver do a WaitForSingleObject() call on that user mode event after submitting the buffer for rendering and getting woken up when the DPC, scheduled by the ISR at interrupt time, sets the underlying kernel mode event.

So I put in all that plumbing which allows graphics apps to optimize their graphics buffer usage and do composition on a surface.

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Originally Posted by Buster Highmen

The whole thing was so bungled from a marketing point of view.

If you ever used the serial port on the thing, that was my code.

There was also some really dirty stuff going on that ended up with a suicide.
Without going into specifics, one of the engineers was running an investment fund for middle management in WinCE that involved insider trading.
When we other engineers found out about it, we complained because we felt it stilted the already vicious review process, but were rebuffed by Mundie who wouldn't let us develop a smart/game cell phone.
The guy running the investments eventually got in over his head and lost everything in the 2006 crash and killed himself. Plus a bunch of people got caught doing insider trading.

Really fucked up.

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Ha ha. Those are some fucking amazing stories.


As for the OS, that's seriously low level (I didn't understand all of that). But I get it abstracting to events and signaling and locks/synch in Java. The whole inter process communications, from COM to modern stuff, and the way it works is mind-blowingly well put together. I'm surprised UNIX/LINUX has even survived - except it does have the whole text-file OS/DRIVER/BLAHBLAH going for it which is great for open source and hacking together new developments. The coworker stuff is fascinating.

Excerpted from a bulletin from CA Medical Board:
"Licensees must adhere to the vaccine requirements, and failure to do so, including distribution or administration of vaccine doses contrary to the phase structure identified in the federal and state guidelines, may subject them to discipline, up to and including revocation of licensure.

CDPH will also be working with local health departments on compliance measures related to improper administration of the vaccine, including potential disenrollment from the COVID-19 Vaccination Program and/or CalVAX, thus preventing the ordering of additional COVID-19 vaccines and redistribution of COVID-19 vaccines to other compliant vaccination providers."

CDPH is CA Dept of Public Health.
Providers who want to administer vaccine have to register to do so and have to agree to follow the CDPH guidelines (adapted from the CDC guidelines).

Currently CA is only publishing criteria for Phase 1A--HCW's and nursing home residents.

4+ hours and I have yet to contemplate cannibalism......Injection site isn’t even sore....

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Originally Posted by The AD

The idea is to vaccinate the most at-risk first, not to pass judgment on them.

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i reserve the right to pass judgment on anyone seriously I have had to change so much in the past year it sucks balls to watch other people carry on as they were and just take a pill to make it better irks me to no end change your diet drink less exercise

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Originally Posted by XXX-er

Fred probably wouldnt like the universal HC or perhaps its just an inabilty for a rugged individualist to even understand the concept of the word

i've discussed this before with TGR types "yeah universal HC would be great but I don't wana pay for fat fucks"

universal means everybody eh

due to age & the type II diabetic thing i am probably in line for earlier than later

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give me my shot my blood work is fucked big time told me I was almost diabetic too cause I love sugar I thrive on it so now I cut 85% of the sugar out of my diet I can smell imaginary donuts cooking and it gets me all excited the cravings yeah I hate fat people

Spouse is scheduled for a shot on Monday. She's an LCMHC with her own practice. She's been mostly on telehealth sessions, however has a few clients that just can't do it that way, for a variety of legitimate reasons. She feels bad being near the front of the line.

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Originally Posted by skaredshtles

Perhaps the doc should make the vaccine a condition of employment. Assuming it's his/her office. I'd be inclined to do it if I was an employer...

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I am sure all the corporate legal teams are working on it.

Or maybe the new administration will mandate employment verification or vaccine. Get the IRS in on it.
And really curious why haven't the fed's shut down the roads and closed the airports in colorado?

Patients had a wide spectrum of disease severity. If one assumes that the number of asymptomatic or minimally symptomatic cases is several times as high as the number of reported cases, the case fatality rate may be considerably less than 1%. This suggests that the overall clinical consequences of Covid-19 may ultimately be more akin to those of a severe seasonal influenza (which has a case fatality rate of approximately 0.1%) or a pandemic influenza (similar to those in 1957 and 1968) rather than a disease similar to SARS or MERS, which have had case fatality rates of 9 to 10% and 36%, respectively.

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Originally Posted by seano732

4+ hours and I have yet to contemplate cannibalism......Injection site isn’t even sore....

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Most cannibals don't know it. It just comes upon them, in a dream-like state. They usually have no recollection of it. A good home camera system is vital is seeing what really happened when you can't remember.

Just got my first dose of the Moderna vaccine. 911 EMT in Boulder, they moved us up the queue from our original 1b slot. So far 10 minutes in and I haven’t died, but my 5g reception is noticeably better.

In all seriousness, please, be responsible, wear a mask, this is not over by a long shot. Yes, I finally feel we are on the cusp of a tipping point but “the end” or a return to “normal” is many months away. Stay vigilant. Be nice to healthcare workers. Be nice to everyone actually.


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Originally Posted by seano732

4+ hours and I have yet to contemplate....

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Turn on local news. I recommend KOBT4

In my ICU, all the other RN's, all the RT's, all the docs I've spoken with are getting it, if they've not already had it. Dates all staggered out so as not to have a bunch of people potentially out at the same time. I think we have two pregnant ladies who are on the fence, but leaning towards getting it. We're a level II center with 370 beds. Normally only 20 ICU beds, but converted our SDU for an additional 10. In spring, we had cancelled surgeries and were using out ASU, PACU, and inpatient dialysis center as ICUs as well. Think we had near 70 vented C19 patients at our high point. Currently seeing a bump. Assuming it will get worse again post-holidays. Selfish fuckers.

My 2nd Pfizer shot is scheduled for Jan 7th.

No qualms about the shot. Wanted it as soon as available.

Healthcare worker at a hospital in Grafton WI deliberately removed 500 doses of vaccine from a refrigerator and left them at room temp overnight so they would spoil, WTF??

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Originally Posted by bigdude2468

Healthcare worker at a hospital in Grafton WI deliberately removed 500 doses of vaccine from a refrigerator and left them at room temp overnight so they would spoil, WTF??

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Our foreign adversaries are laughing as we fuck ourselves up.

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Originally Posted by bigdude2468

Healthcare worker at a hospital in Grafton WI deliberately removed 500 doses of vaccine from a refrigerator and left them at room temp overnight so they would spoil, WTF??

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https://www.npr.org/2020/12/30/95173...-hospital-says

Some wicked shit.

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Originally Posted by riser3

Our foreign adversaries are laughing as we fuck ourselves up.

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What would that be. 10 viles? Makes me think about the politicians holding a bike for the photo op.

They should charge that individual with reckless endangerment.


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Originally Posted by MTT

What would that be. 10 viles? Makes me think about the politicians holding a bike for the photo op.

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It's vials.

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Originally Posted by nickwm21

They should charge that individual with reckless endangerment.


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Tampering with vaccine efforts should be a federal crime with many years in prison. There’s no place for this shit.

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Originally Posted by MTT

What would that be. 10 vials? Makes me think about the politicians holding a bible for the photo op.

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FIFY

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Originally Posted by glademaster

It's vials.

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Not if you have tinfoil.

Vile vials

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Originally Posted by nickwm21

They should charge that individual with reckless endangerment.

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extrapolate the consequences .. maybe domestic terrorism is the charge

6160 California police code for vaccine tampering.

Fedgov paid over $10K for those destroyed vaccine doses.

1666. DESTRUCTION OF GOVERNMENT PROPERTY -- 18 U.S.C. § 1361

"if the damage exceeds $100, the defendant is subject to a fine of up to $250,000, ten years imprisonment, or both."

MIL just got her first shot of the Moderna vaccine today, thanks for U of Colorado Anschutz!!

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Originally Posted by Summit

Fedgov paid over $10K for those destroyed vaccine doses.

1666. DESTRUCTION OF GOVERNMENT PROPERTY -- 18 U.S.C. § 1361

"if the damage exceeds $100, the defendant is subject to a fine of up to $250,000, ten years imprisonment, or both."

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Oh snap. However, were they government property at the time? I sure hope they were.

Does anyone in AZ know if the Mayo Clinic is scheduling shots for patients or ex patients?

Late to this thread—perhaps most disappointed (but not surprised) that TNken’s daughter is advocating for not getting the vaccine. Bummed she will be a healthcare professional.

Had my moderna vaccine tues. Moderate arm pain and some chills/myalgias for the 24-36 hours after. Unfortunately I also started coughing, so scheduled for a covid test tomorrow. The ultimate fuck you to end 2020 would be to get covid and then become symptomatic the day I get the vaccine, but such is life. Hopefully shit clears before I’m back in the hospital in another week or so.


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Curious to know...if someone is over 75 and is generally healthy but has a condition that puts them at serious risk if they got Covid, what’s the actual process they’d use to ensure they got vaccinated relatively soon? Are they supposed to ask their GP to be their advocate?

I know things vary by state and county, just trying to understand how ‘the list’ operates in practice.

Completely variable. In CO the Governor basically told people to call healthcare systems (cue busy signal). In some areas seniors are being signed up by senior organizations as well as having access to signup portals, and in some areas are being contacted by healthcare systems directly. It is hard because a lot of it is via email and that isn't always the best medium.

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Originally Posted by Summit

Completely variable. In CO the Governor basically told people to call healthcare systems (cue busy signal). In some areas seniors are being signed up by senior organizations as well as having access to signup portals, and in some areas are being contacted by healthcare systems directly. It is hard because a lot of it is via email and that isn't always the best medium.

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Yeah, UC Health emailed my mother in law yesterday. who’s at risk and also lives in assisted living and said she could make an appointment for the vaccine. Boom, got it today. Couldn’t have been smoother. Hopefully this happens more and more as shit rolls out.

In Oregon it looks like only phase 1a (front line health care workers and nursing home residents ) has been defined. In other words, while the news in Oregon talks about the vaccine getting rolled out more broadly to seniors over 75, the Oregon Health Authority hasn’t yet got their shit together on that quite yet.

Frobro, there's a federally mandated Tier system of classification states supposed adhere to. Med pros and med frontline first.

Then homeless and prisoners in Tier 2 along with a bunch of others. Tier 3 is over 65 and peeps with underlying conditions.

Tell them she lives in the alley behind your house.

That's the problem. Most states haven't bothered to figure this shit out. A lot of people who don't belong to big integrated health systems will be going to CVS and Rite Aid and places like that, who don't have their medical records. Obviously age can be checked, but medical conditions, essential workers--how is that supposed to be verified? I'm with Kaiser, I'm hoping I'll get a shot through them and they'll notify me when it's time.
It's not like getting a flu shot--they give a shot to anyone who shows up, except in Florida.
Giving the shot is quick, but I'm sure there's paperwork to deal with, insurance info, etc that will take a lot longer for each person.
I'm not sure I'd want to have an allergic reaction at CVS.

BTW--65 and older is Tier 1C, not 3. It means the same thing but sounds sooner.

My FIL'S doc said he should not get the Pfizer shot but the place he lives contracted with CVS to come in and administer the shots. Unfortunately they only give the Pfizer shot not Moderna and his docs aren't doing it. We can't find anywhere locally that can tell us if or when they'll get that and the place he lives wants all of the residents to have their first shot this coming week. This shouldn't have to be a hassle...

I figured I would post an update, but my dad ended up being given the Moderna vax instead of the Pfizer. He was supposedly the first person at the hospital he's on staff at to receive the Moderna shot. He got it on Tuesday morning, and thus far says he has experienced precisely zero side effects of any kind. No soreness in his arm/at the injection shot, no fatigue, nothing. "Like it never even happened."

He gets his second round January 26.

I called my doc to figure out my place in line. I’m mid fifties, with heart issues, and a wife who is a front-line RN. I was told, “I have no clue.” Great.