#heart #transplant #covid19 #vaccination There is a great deal of consternation about heart transplants and vaccine requirements. This thread is meant to explain to the public why our partners in heart transplant are so incredibly strict.
Heart transplant is one of the most scarce resources that exist. Big reason? A donor has to be deceased for a heart to be available. Even then, a separate medical team has to be sure the heart is healthy enough survive two surgeries (leaving the donor, getting to destination).
If fully functional hearts could be delivered at some point in the far future on a 3d printer, this will no longer be an issue. That’s an active area of research but not a reality.
Heart transplants come with a heavy medical appointment demands and heart procedures on the receiving patient to make sure the transplanted heart is functioning properly and stays healthy. Deviation from our protocol puts lives in direct danger.
Heart transplants come with mandatory immunosuppression at a dose tailored to the patient. This is not negotiable; this also places patients at risk for infections, including really serious ones. This is why a catch up vaccine schedule is required prior to transplant.
Just picking and choosing your vaccine schedule puts the heart transplant candidates life at risk. Click bait headlines about pundits getting upset don’t speak to the medical reality of why vaccination is necessary.
So don’t get your heart transplant information from emotion grabbing headlines.

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More from @han_francis

Feb 11
#debate #science #COVID19 Scientific issues are not settled by "debate hall" style debate like you see at the Oxford Common... they never have been, despite the pleas of far right wing media platforms. Political debates are their own ecosystem.
Science debates are settled by making better and better experiments and getting researchers to iron out issues systematically . Brian Greene is an example of someone who actually did the homework...
to achieve the expertise to scientifically debate someone outside his own field. The Twitter spaces of @IanCopeland5 are another example of someone actually systematically bringing the science to bear on current events regarding COVID and holding bad arguments accountable.
Read 11 tweets
Jan 25
Thanks for the opportunity to discuss myocarditis @thereal_truther . Summary of some talking points - my updated point of view is that myocarditis after vaccination deserves talking about.
We have much more stratified data to triage risk of myocarditis and benefit of avoiding COVID than we did in 2021.
There are diagnoses in my world such as cyanotic congenital heart disease and cardiomyopathy and single ventricle, that deserve all the protection they can get from COVID. For the otherwise healthy teen I agree that the discussion needs to be much more detailed.
Read 15 tweets
Jan 24
#vaccineswork #COVID19 I would like to take a moment to highlight the differences between a real vaccine injury researcher and someone who is grifting for themselves.
@P_McculloughMD 's current situation is that he blocks everyone who challenges him... and its quite easy to challenge his willful disregard of even basic biochemistry. He now sells vitamins with minimal evidence that they actually protect the heart.
Texas's Stella Immanuel also sells vitamins with minimal evidence, which can also be purchased for more medically valid reasons for much cheaper at places like... Walmart.
Read 9 tweets
Jan 23
#VaccinesWork #neoTwitter #COVID19 Antivax tactic used here - when knowledge is a bit sparse, invent stuff to make your meme more scary. The meme shown here is full of errors. Its about multisystem inflammatory syndrome in neonates.
Lets start with some definitions - multisystem inflammatory syndrome is defined essentially as dysfunction in two or more organ systems after COVID19 infection.
"White lungs" is usually a reference to neonatal respiratory distress syndrome, meaning a situation where the lungs are not well developed enough to produce enough surfactant (a type of biological soap) to keep the lungs open.
Read 7 tweets
Jan 23
#OBGYN #pregnancy #COVID19 The obstetrician Kimberely Biss out of Florida is quite misguided on her statements in the hallway. One of the simplest rules of research is that you cannot necessarily generalize your personal experience to the whole population.
The actual situation on cervical cancer screening is more complicated than what she discusses - there was a lapse in screening/ diagnosis, which needed to catch up. She implies that COVID vaccines cause cervical cancer - NO, HPV does (in most cases). jamanetwork.com/journals/jamao…
COVID vaccines do not raise the miscarriage rate - cidrap.umn.edu/covid-19-vacci…
Miscarriage can be one of the most traumatic experiences ever but even then, systematic analysis is necessary.
Read 6 tweets
Jan 23
#vaccineswork #pregnancy #COVID19 Wrong on all counts Steve. Here's the actual updated data on the matter, from someone who actually looks at this stuff professionally. Thank you to @VikiLovesFACS
drive.google.com/file/d/1_wHIYX…

Maternal vaccination with two doses of mRNA vaccine was associated with a reduced risk of hospitalization for Covid-19, including for critical illness, among infants younger than 6 months of age.
nejm.org/doi/full/10.10…
Severe complications known to be associated with COVID-19 in pregnancy (critical care admission and perinatal mortality) were more common in women who were unvaccinated at the time of COVID-19 diagnosis than in vaccinated pregnant women. nature.com/articles/s4159…
Read 4 tweets

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