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Saturday, January 16, 2021

Regional COVID-19 vaccination subHUB coming to Brazos Valley counties

Best may be to sign up for an inoculation time slot in your community so as not to inadvertently be in a superspreader event because so many showed up at the same time. #covidvaccine2021 #covidvaccineupdate
from Rajesh Harrykissoon, MD

Friday, January 15, 2021

What you need to know about getting a COVID-19 vaccine in Brazos County

What you need to know about getting a COVID-19 vaccine in Brazos County See linked information. If your health care provider offers an app (or online account), enroll, log in, and update your contact information. Your digital chart is often the most efficient way to communicate (more so than phone calls).
from Rajesh Harrykissoon, MD

Tuesday, January 12, 2021

74 Brazos County residents hospitalized for COVID-19, ICU occupancy at 127%

Folks, we are stretched past the limit of usual capacity and care. As some other communities in this situation have been forced to triage care to those most likely to revive, we may be in the same position. Once a covid infected individual in intubated and placed on mechanical ventilation, death takes 2-4 weeks. This means resources are tied up for a long, long time while more and more and coming in. Consider your advanced care directives (ACD). Write it down and state your wishes to your surrogate decision-maker. We have had instances where such surrogate decision-maker has not honored their loved one's wishes and have wilfully kept the existence of an ACD from the healthcare team. What a breach of trust on all accounts! Certainly, it is an unethical thing to do to a loved one who entrusted that individual. So, please do ask your surrogate if he/she feels comfortable filling that role. If he/she cannot fill that role, select someone else. If medical benefit can no longer be afforded, a do not resuscitate (DNR) status is reasonable. If a covid infected patient has a cardiac arrest while on a ventilator, doing chest compressions and shocks is futile. We have saved no one under such conditions. Doctor, do everything! When people say "do everything," what they often mean is do everything that may help and don't do those things which may hurt. Few would desire to spend their last days in medical torture. It takes a toll on us, the healthcare team, to be forced to commit medical torture. Remember we, all of us, have a capacity for compassion and to offer it to the suffering. We are so gifted by our maker. We are not like animals who simply step over the body of a fallen member and move on. Let's not forget, our uniquely human gift and practice this compassion. When cure is not possible nor further medical betterment may be afforded, we have the capacity to alleviate preserve dignity and to alleviate suffering.
from Rajesh Harrykissoon, MD

Tuesday, December 15, 2020

FDA Analysis Of Moderna COVID-19 Vaccine Finds It Effective And Safe

We may have to immunize some 250 million Americans to break the pandemic hold on our land.
from Rajesh Harrykissoon, MD

Friday, December 11, 2020

Coronavirus live updates: Daily U.S. death toll will exceed 9/11′s for months, CDC director says

The Psychology of Loss and Threat I find it interesting the way our minds handle causality. Our emotional response to a given loss of life seems to be conditioned by the cause of the loss and not necessarily by the quantity of the loss. For instance, we lost some 3,000 people in the 9/11 attack. And, we have been losing 1,000-3,000 lives every single day for months now due to Covid-19. We as a nation were in shock and outrage with the 9/11 loss. But, we don't have an equivalent outrage with a 9/11-equivalent loss of lives day after day. Our emotional state appears to be more resigned and "meh." Intolerable = 3,000 lives lost once to an external attack Tolerable = 3,000 lives lost daily to a preventable disease So, it appears quantity of lives lost is not sufficient to elicit a like emotional response. It seems that our emotional response is dependent on the cause of the loss. If the loss is caused by an external threat (intruder or other outside external actor), we feel it more vehemently. If it's from an internal source or from a natural phenomenon, we are less outraged. External threats also seem to unite a people--at least transiently while the threat persists then internal factions resurface once the external threat is removed. I'm sure there's a psychological term or concept for this. I'm not schooled in such concepts to put terminology to it. Feel free to drop some knowledge.
from Rajesh Harrykissoon, MD

Monday, December 7, 2020

Coronavirus Disease 2019 (COVID-19)

Confusion around mRNA vaccines. No, an mRNA vaccine will not make you grow an 11th toe. Here is a good explanation of what it is (see link).
from Rajesh Harrykissoon, MD

Monday, November 16, 2020

Vaccines 101: How vaccines work

How Vaccines Work. And, how vaccines eradicated smallpox through herd immunity.
from Rajesh Harrykissoon, MD