At the risk of getting eviscerated like last time I talked about the AZ vaccine, my suggestion for NSW is this. If you are eligible, get it. It is a good vaccine for a large outbreak. I wont insult your intelligence with comparisons made to risk of other things. 1/
What about deadly blood clots? People are calling it a "clot shot" right?
First of all, major props to everyone who has rolled up their sleeves, taken a deep breath, and gotten it. Major bravery on display there, major.
I want you to think about the way this is reported. Every time someone lands in hospital or dies with a blood clot, it gets reported in the news. Someone asked me if not reporting it was 'suppression' aka censorship...
Absence of reporting isn't censorship, if that information is freely available (which it is). And if it was censorship, then it's not the complications that have been censored, but the *success*. Out of 90-odd cases clots we've had, around 6.3 MILLION vaccines have been given.
Imagine if the media reported every single success, 6.3 million times? Imagine if your TV, all day long, reported 'vaccine given, no clots, vaccine given, no clots'. Or Twitter? Why is this being 'suppressed'? Why is the success not being reported?
"But it *could* be me, right?"
I guess, but there's a 99.9998% chance you'll be just fine.
"But my risk of dying from covid is pretty low right?"
Yes, you'll have a 97% chance of survival. Pretty good odds right? But in an area where there's lots of covid, your chance of getting covid dramatically increases. Life isn't all about survival, it's largely about ability.
Long covid appears to occur in about 30% of people and interferes with your ability to:
Exercise - your capacity to do this is obliterated
Think clearly - there's a big study showing that IQ drops dramatically
Get an erection - because of impact on blood vessels
Produce sperm...
...because the tests are full of ACE receptors, which is how covid invades cells.
Get enough oxygen - because long covid can produce permanent lung damage. Permanent.

Your chance of getting long covid goes up with how severe your symptoms of covid are.
Both AZ and Pfizer are very good at reducing severe disease and by extension, long covid. You don't want long covid. You really really don't. Everything you have taken for granted will be gone.
Why does ATAGI keep chopping and changing? Are they lying to us?
No, the medical field changes with new information as it becomes available. It is forever shifting sands and while doctors are used to this, I get that not everyone is.
Their job is to keep individuals safe, while simultaneously keeping the community safe and resisting political pressure. It's a tough gig and I don't envy them. But I do trust them. No one, especially not medics who went into this to protect lives, wants the worst to happen.
If you're in an area with a lot of covid around, go get vaccinated. For you, for your loved ones, for your town. You can get your second dose sooner now. There will be boosters later. Get it done. Be the one that rolls up their sleeve and holds their breath.
TLDR; Listen to ATAGI advice, get AZ if you're eligible.
If you disagree, I'd rather you just block me than abuse me, I've had enough of that. I will block you if you get nasty.
Oh I should add 2 things:
1. Vaccine will prevent you dying/getting hospitalised/being seriously disabled. Still need to mask and distance.
2. Would I recommend it to my own Mum? Yes. She's already had both doses.

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More from @DrKate_Miller

7 Aug
I know there are people curious about TikTok but see it as inacessible for a variety of reasons: unfamiliarity, what's the point, their own self-view as being non-tech, security concerns...but are still curious. The content is really good for the soul imo. Quick guide:
1. Download the app and make an account. Enter as minimal information about yourself as possible. I keep a separate email account for online shopping (to reduce spam) and use that. Don't use real birth date. Then...
2. Down the bottom of the screen, you'll see a magnifying glass or the 'discover' tab. Go into it and type in a topic that interests you with a hash in front of it. Suggestions: #melbourne, #sydney, #medicine #dancechallenge, #indigenous
Read 9 tweets
26 Jul
Here's a little thread on crappy public responses to pandemics of the past. Whenever you feel angry about the behaviour of your fellow man, remember, all this has happened before, and all this will happen again - history offers comfort. None of this is new. Enjoy.
1918 Influenza pandemic. Image
Image
Read 10 tweets
11 Jul
My turn for a social media break friends. I thought I had last year packed up in a box but the covid ad is circulating, and keeps knocking that box off the shelf without my permission. But first, a rant. Content warning: avoid if you’re HCW or have lost someone to covid.
The ad you saw does not represent young people (in a functioning health system, which we have). They would never be left like that. For older people, it is a different story.
Ventilation, ICU, things drugs ending in ••mab, these all help us wait out diseases in well bodies. In unwell, ageing bodies, these things make the underlying problems worse, they accelerate the complications of ageing. Older bodies can’t tolerate the drugs used for ventilation
Read 14 tweets
9 Jul
Someone posted the other day asking the question - what is the word for the pandemic induced sheer exhaustion that everyone is feeling right now? I thought a lot about it, and can't find the original post to answer, but I think the answer is...
Grief.

Grief is sneaky. It's exhaustion, it's mood swings, it's wondering what life is all for, it's random tears and even more random laughs. It's a bit like diarrhoea in the way it comes and goes. One minute you're okay, the next you're really not.
And we all have so. much. to. grieve. Our jobs, our working relationships, the dreams we had for the future, if we have a future, our kids lives. Grief makes you wonder if everything is ever going to be okay again. You feel like you're in a dinghy in a tusnami.
Read 7 tweets
8 Jul
Data duplication in medicine, a rant. So much time is taken up in our job of re-entering the same data, for each patient across different medical services. Medications. Medical histories. Mostly static information (in geriatrics anyway).
Then, there’s the time wasted finding information (such as blood test results). No centralised access to any of this information. So for every patient, I will re-enter their medical history and what medications they’re on.
The level of error that gets introduced by duplication is concerning. Especially for residential aged care residents whose histories are long. I have residents on up to 45 drugs at a time. Databases all have slightly different formats and nomenclature for this stuff.
Read 9 tweets
11 Jun
I know everyone is focusing on the new changes to medicare but I want to point out something more insidious. The freeze on the medicare rebates for GPs. This is the single biggest erosion of Medicare there is.
What does this mean? The amount Medicare rebates for your visit to the GP is about $37. Usually this price is indexed (rises a small amount in line with wage levels) every year. Until it was 'temporarily' frozen in 2013.
Other specialties item numbers have continued to be indexed (please remember that GP is now a specialty too with it's own training program, I'm aware it didn't use to be) but not GPs. So they are running practices on 2021 costs but being 2013/14 wages.
Read 13 tweets

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