Do NOT Play Into The Divisive Vaccinated vs Unvaccinated Game

CDC Director Rachel Walenksy, May 13 White House briefing:

"the science demonstrates that if you are fully vaccinated, you are protected."
 
No qualifications at all.
 
The problem is that if you are indeed allowing a vaccinated person to have minimal symptoms at the same time the virus is not sterilized, you have effectively turned that person into an incubator for more mutant expression.
 
And then multiply that person by millions. You have to think in large numbers here. Allowing this much genetic mutation capability is a real issue for future variants that could be a lot more toxic.
 
If the vaccines were sterilizing, the person would have no symptoms AND the virus would be inactivated and unable to change.
 
That is the concern with non-sterilizing vaccines. It is basically what could happen in the future.
 
You have to think in large numbers, and exponential growth. The UK already gave us Delta, starting with the lumpenproletariat in globalization-blasted Kent, and Delta went round the world and dominated very, very quickly.
 
p.s.,  This (and other insights about the non-sterilizing nature of the current vaccines) implies that vaccine passports — e.g. showing proof of vaccination to enter a restaurant or board a plane — is ENTIRELY pointless.

IMDoc Anecdote:

I did not feel well when I got home from work last night. As the night wore on, I began to have a very severe cough, very loud wheezing (I do not wheeze), a mild headache, and a fever of 101. I knew exactly what was going on. As soon as I could, I called work to tell them I was not going in and headed right to medical care to be checked – and indeed I am now positive for COVID. I was fully vaccinated in mid April.

To me, this day was not and if but when. From the very first day in my internship in the big city in the middle of the AIDS pandemic – one of the leading internists in the country told my class – “We do not run from pandemics, we run into them.” My office of fully vaccinated staff has already had one wave of COVID go through about a month ago that somehow I missed – my time was up last night.

I am in great physical shape for my age – very healthy – and am already feeling much better today – I am going to be fine. But what has happened in the interim since this AM – has been eye-opening.

I was actually called by a health department phone operator within an hour or two of my diagnosis. They then put another administrative person on the line who informed me that I was vaccinated – and therefore no quarantine was necessary. I told them right away that was ridiculous – and I would be staying at home for now. Within 30 minutes, someone from the state health department contacted me – and I will be brief – informed me that it was very reckless for me as a physician to be talking about quarantine of myself a vaccinated person – the CDC has told us this is not necessary – you cannot spread the virus – doing this would potentially discourage others from vaccination – It may cost lives – My response – “so having me, a positive COVID patient, hang out in exam rooms or the grocery store with obese diabetic cancer patients is not going to cost lives? Please if you think I am being reckless – report me to the Medical Board – I will happily discuss this with my peers.”

These are the kinds of things that occur with pathologic lying. People actually begin to believe the accumulated lies are truth. All rational thought is completely clouded. I will state for the record – that neither person who spoke to me today was an MD DO RN or MPH. All administrative. I truly believe that most health care workers are beginning to wake up. I think a real genuine health worker would have rotted in hell before making such statements.

I called one of my old students/residents right after this call. He is currently the head of the Internal Medicine Dept at one of our big universities in Blue America. I was informed that out of the 20 or so faculty members in his division – all 100% vaccinated – 7 of them had become ill with COVID in the past few weeks. We kind of laughed nervously about the 95% number for relative risk reduction – and how we as a profession were about to learn that misrepresenting numbers like this to the public was a very bad idea. Then some profound statements from him ——

“I have been dealing with this nightmare called evidence-based medicine for years. Students and residents both now tell me that only peer-reviewed RCT are what they should be looking at – nothing else matters. They would not know the difference between a relative risk reduction and an incidence if they had to – they do not even bother to look at anything but an RCT – therefore they know nothing of medical statistics. This has been on full display for the world to see the past 18 months. Just look at any Twitter feed. We have a lot of work to do.”

And I, IM Doc, have several times discussed the human theater, the “stupid human tricks” of putting your vaccination photos on Facebook or TV as a motivator. And then spend days talking about the bad reaction you had to your vaccine – “I got really sick – Hallelujah – I know it has activated my immune system”. I got so so tired of that chestnut – but it was all over the Internet for months. Any vaccinologist, immunologist – etc – would tell you that was just horse shit. And now you know why that was a very very bad unprofessional thing to be doing. It literally motivates no one, and now there is going to be lots of explaining going on.

My old student today – “Actually the Facebook vaccination meme was the second worst thing. The absolute worst was the whole health care TikTok Video dancing – often done in ERs where there were lines of sick people waiting. It made me want to punch the wall. But now all these kids that put their Facebook vaccination photos online and bragged about it – are going to get to explain to all their patients and friends how they still got COVID after the vaccines – we have quite a few housestaff and students fully vaccinated becoming positive – not just the faculty.”

“Young Grasshopper – pride goeth before a fall”. There are those of us who have been warning that all was not well with our entire approach for months – and were laughed and scoffed out of the room. We as a profession are going to have a lot to answer for.”

All that is from my old student – now a leader in academic medicine – I am so so relieved – people are starting to wake up.

The take home message from where we are today –
These vaccines are non-sterilizing. That means they may limit or eliminate symptoms – but they do nothing for the spread. There are probably all kinds of vaccinated patients harboring active infections at this very minute and they have no clue – the vaccine is making them not sick. But they are sharing it with all around them. Many if not most of them taking no measures because the CDC told them they did not have to – YOU ARE VACCINATED. The good news for today is that the symptoms, hospital, and death all seem to be low. The bad news is all of these harboring the virus are further playgrounds for the virus to mutate. And when you allow it to become more and more widespread – the more likely a really bad mutant will come to the fore. That is THE danger of non-sterilizing vaccines being used for a virus that is profoundly capable of mutating.

My advice today – DO NOT PLAY INTO THE DIVISIVE UNVACCINATED/VACCINATED GAME – at this point and in the near future – it is going to become increasingly obvious this is just not a hill to die on. TAKE CARE OF YOURSELF and YOUR FAMILY. Find and identify any elders in your community that may need help. Plenty of sleep – plenty of sunshine – lose weight, exercise, eat well – vitamin D 2000 daily. AND SMILE. It does wonders.