I know this is purely anecdotal and observational but maybe it’ll help some folks feel better about getting vaccinated.
I care for several hundred cancer patients at my clinic and i got them all vaccinated with the help of some volunteers who secured them appointments.
Cancer patients know what’s up: they possess none of the arrogance and disregard for disease shown by so many others. They understand immune systems and susceptibility. And they have long, close relationships with me, which helped in forging trust and discussing the vaccine.
So, close to 99% of my cancer patients got vaccinated.
And, as happens in cancer care, they continued to see me - weekly, biweekly, monthly. Some come several times a week (for chemo and close follow up).
Many suffered the expected side effects. They felt sick, tired, achy.
None of them had any trouble after the first 2 days. I do full physical exams and ROS.
They did not develop adverse effects.
They did not die.
I lost a few to cancer - but it was a steady progression towards end of life, marked by pain, lack of eating, altered mental status.
I did, however, lose a few patients to COVID, and it was immediate. They didn’t stand a chance. They weren’t vaccinated - they never had time to get it.
I am comforted by having watched several hundred cancer patients get vaccinated through their treatment, and remain safe.
My early stage patients achieved cure as expected, my late stage patients hovered or progressed.
The vaccine did not injure them, and aside from clinical trials I have a hard time imagining such intense and close follow up in other settings.
The vaccines did allow them to see their loved ones, leave their homes, and remain alive.
So, as long as we’re all sharing observational experiences of the vaccine, here’s mine.
✌🏽
• • •
Missing some Tweet in this thread? You can try to
force a refresh
My inbox today, after I closed a thread and blocked 2 people for calling me fundamentalist and assuring me that I am oppressed even if I think I’m not:
“I thought you were more open minded. I thought you were different. But really how are you different than every other
religious fundamentalist? Your words said you have choice yet your actions proved otherwise when you decided to shut down the conversation and block all of us. You get to walk from this entire conversation on social media with zero repercussions yet those who have been shunned
by the community have to start from zero. I hope that one day you recognize the truth of what myself and so many others are telling you. Just a few months ago, you came clean on social media about how just a few years ago you were opposed to vaccines.
But it is primarily meaningful if you are part of a nuclear family and fit into a mold. This is where some of the the benefits and strengths of Orthodoxy shine in the form of communal acceptance, kinship, loving-kindness.
Where you break an arm & Hatzalah shows up, calls an orthopedist and segues you into the ED. Where you are hospitalized & receive package of hot meals. Where your nephew doesn’t have a father but 3 uncles show up to his siyum. Where your community holds you up when you’re broken.
But, it’s not always magnificent if you are divorced, single, childless, widowed, gay, irreligious, rebellious, struggling with mental illness.
This is where we abandon you. Where we don’t know what to make of you. Where you don’t fit our mold and now we’re confused & worried.
Ok so hear me out. I know my Patreon is meant for medical necessities but this was important.
Tom is dying slowly of lung cancer and that’s our goal - to slow his death. He lost 80lb, and at 7 feet, he looks like a skeleton. Still, we treat him as long as he feels ok.
He lives at a homeless shelter and likes to visit me randomly at the clinic, even when it’s not a treatment day. “My Blima,” he calls me.
Today he came for chemo and we chatted. He fretted over an additional 4lb lost, but his eyes lit up as he recounted a good day last week:
“My brother came up from Alabama and took me to Applebees. Blima I ate a whole rack of ribs, mashed potatoes, broccoli and chocolate cake. I enjoyed it so much.
I don’t like the frozen dinners I usually get for meals.
I am a part of the Chassidic community; I grew up in it, I live it it, my friends and family are chassidic. I love them and their culture and their unique way of life more than I can express, even if I don’t live it the same way.
As a nurse, I can also see the problems.
I’ve seen the healthcare barriers for years, and I’ve tried to take them on, one at a time.
For my doctorate thesis I received IRB approval to study high-risk frum women’s understanding of their risk of breast cancer, and the utility of genetic screening.
So here’s my story of how I went from being an anti-vaccine, fearful mother who selectively vaccinated on an alternative schedule -> to a pro-vaccine advocate.
It’s not very dramatic, but these stories never are.
We start in 2008, where I am a new cancer survivor, age 23.
My chemotherapy regimen had me comatose & wheelchair bound. I don’t know why. Once I became a nurse I realize that it was an extreme reaction to the chemotherapy.
But, I survived.
A year later I was cleared to try to become pregnant. I was told I wouldn’t be able to.
Several months later, with a lot of help from God and science, on the day I graduated nursing school, I was expecting my daughter.
I enjoyed my time. I was still recovering my strength and my hair, and processing what I had been through.
He was on the phone, wailing: Blima every bone hurts, I can’t bear it.
I smacked myself mentally. He got an injection yesterday to increase white blood cell production. On occasion, it causes deep bone pain (it works in the bone marrow).
But most of my patients do fine.
Now he was in severe pain, which is complex because he’s on methadone and oxycodone to manage both his addiction and his cancer pain.
The trick for this kind of pain is Claritin - only partially supported by the evidence, but low risk, many patients swear it works.
“Josh,” I said urgently. “Can you get to a pharmacy?”
“No,” he moaned. “I can’t get out of bed.”
I went to the pharmacy next door and swiped my Patreon card for the $14 Claritin. I asked if they’d deliver it, but their driver had left for the day.