I'm very tired of this Nature paper but since Joe Rogan and Vinay Prasad keep purposefully misquoting it, the risk of myocarditis is an extra 40/million after covid infection, 4x higher than the risk of mrna.
Prasad in his substack purposefully does not mention cardiac arrhythmias (huge) or pericarditis, which were increased with covid infection but not vaccines. He only shows you a mild increase in myocarditis in under 40 (which is almost universally self limited)
He then says that it seems the governing agencies don't care about maximizing benefit and minimizing harm? An extraordinary claim when you blatantly manipulate the very data they are considering and dismiss the broader benefits of vaccination.
This kind of thing does real harm and I think we have to consider what our institutions should be doing when doctors spread misinformation. When so many have been censored for honestly speaking about how many covid patients they cared for. Our institutional priorities are a mess.
Here is said paper

Anyway I'm gonna go schedule more covid vaccines in my clinic where I actually do this stuff for real instead of just pontificate about it

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More from @DrPoorman

28 Dec 21
How I got a job in primary care that I love (and survived a lot of difficulty along the way) 🧵

#medtwitter #girlmedtwitter
First and foremost there will always be more you can do for the patient and you will never be rewarded for having boundaries. Get a therapist. Get a coach. Figure out what you need first and then decide what you can give.
Take an honest inventory of what you are spending your time on and limit unpaid time as much as possible. We are rewarded for writing long notes in residency, and in practice we are up until midnight finishing them. Unsustainable. Write shorter notes.
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