Covid-19 Update Aggie Physician

1,294,601 Views | 3660 Replies | Last: 2 yr ago by tamc91
AgLA06
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Charpie said:

Just want to make sure I am understanding this, the doc seems to think that if you've had covid, get the shot anyway?
Yep. I read it as they can't prove natural immunity is working against Delta and since Delta is much worth, it isn't worth the chance.
moko76
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So with natural infection the level of immunity (measured by anti-spike antibody levels) can vary widely, and is generally summed up as the worse the COVID infection, the greater the immune response. So, what that means is that patients who have had an asymptomatic or mild infection likely have lower levels of immunity.

what is known is that a single dose of mRNA vaccine after a COVID infection usually provide robust immunity.

all of that holds if you have a normal immune system. If you are immunosuppressed, either by the medications you take for transplant or an autoimmune disease, or if you are generally debilitated, your responses to natural infection and vaccines may be such that you cannot be guaranteed to be immune

we also know that a significant minority of transplant recipients still don't have adequate antibody responses even after 3 doses of Pfizer or Moderna vaccine.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
thriller03
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Question for the docs (with general timeline)...

Wife started symptoms (headache, fatigue) last Sunday 8/1. Slight fever late Monday, positive test Tuesday. Later that week, my kiddo and I both get positive tests (Friday) with my symptoms starting Thurs, kiddo's Fri.

At same time, Monday 8/1 I was at a jobsite and was exposed (barely, maybe 10-15 minutes from 6-8 feet away). Tuesday, that person spikes fever and is now positive.

With regards to my wife, is it possible to have exposed her to a new "case" while she is still carrying her existing case? I.E., if contagious period is accepted at ~48 hours pre-symptoms, would she be at risk of exposure from me Tues-Thurs while she already had it? Said differently, can you get re-infected *while* infected? Or is the immunity being built during infection sufficient? And, do different strains act differently when it comes to this?

(Just curious, our cases have all been relatively mild to date.)
Proposition Joe
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Could someone link me to the post that has good meds suggestions? On vacation 74 year old vaccinated father (who had attended a large funeral recently) started feeling bad last night after dinner and felt bad enough to sleep through family breakfast and beach day which is unlike him so trying to get everything he might need ordered.
Proposition Joe
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Scratch that - found it on previous page. Thanks!
Gabe1
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If I did want my college at kid to get a vaccine, even though they had Covid last fall, which vax to a 20 year old may have the least chance of a long term side effect.
Moderna / Pfizer or J&J? Thanks
Reveille
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Gabe1 said:

If I did want my college at kid to get a vaccine, even though they had Covid last fall, which vax to a 20 year old may have the least chance of a long term side effect.
Moderna / Pfizer or J&J? Thanks


Don't think we know for sure. They are all very safe. The J&J being one shot is probably fine considering his age and the fact he has already had covid.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Dolphin Roper
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Can you have too many antibodies? I had Covid in March 2020, moderately severe case with pneumonia (I have a comorbidity). I was antibody tested last week and my results were S Protein >2500 and N Protein 100, 16 months post infection (unless I have had another infection and did not know it). I have been trying to determine if I should get the vaccine, and I just found out that my work is requiring the vaccine going forward. With my antibody levels appearing to be relatively high already, is it still recommended to get the vaccine, and is there a risk that it could be harmful or I could develop "too many" antibodies?
Kyle Field Shade Chaser
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those are higher than some of the vax numbers being posted around Texags. I'm no doctor though...

I'd maybe get tested occasionally for anti-body levels and if you start seeing a dip get the vax. I'm not telling you not to get the vax, but if I had numbers that high I would personally wait.
MiMi
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S
I would recommend chatting with your doctor. If your employer is requiring the vaccine, you may be able to receive a medical exemption if your doctor agrees that you should wait.
Dolphin Roper
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Doc,

Any thoughts on my question above regarding antibody levels and vaccine safety? Thanks!
MadDog73
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If I come down with the Delta variant, will I have natural immunity to all current variants? Thanks.
SW AG80
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Rev,
any reason why my wife and I, both in mid 60s, should get a booster? We were vaccinated over 6 months ago. No underlying health problems but we see my 93 year old father in law daily.
Reveille
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Dolphin Roper said:

Doc,

Any thoughts on my question above regarding antibody levels and vaccine safety? Thanks!


Honestly don't know the answer to that. Those titers seem very high so I might consider waiting on vaccine till they drop. I would suspect you would have significant fever chills body aches with vaccine with those high titers.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Reveille
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RiverAg 80 said:

Rev,
any reason why my wife and I, both in mid 60s, should get a booster? We were vaccinated over 6 months ago. No underlying health problems but we see my 93 year old father in law daily.


You will likely need a booster at some point but that data is not clear yet. Hopefully a more specific booster to the Delta variant is being worked on.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Dolphin Roper
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Thanks, Doc. My work is going to require the vaccine unless I have a medical exception. Other than feeling bad for a day or two, do you think there are other potential risks with the vaccine given my antibody levels? It definitely seems like overkill to get a vaccine at this point, but not sure how flexible my work will be.
maca1028
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Question about the supplements. Is it recommended that you take them together or spread them throughout the day? We have CoQ10, D3, quercetin (haven't started taking yet) and already take a one a day, fish oil, and Goli Ashwagandha regularly.
My wife has shown some mild symptoms the last few days, could just be sinuses, felt pretty bad when she woke up this morning but has since started feeling better.
Reveille
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maca1028 said:

Question about the supplements. Is it recommended that you take them together or spread them throughout the day? We have CoQ10, D3, quercetin (haven't started taking yet) and already take a one a day, fish oil, and Goli Ashwagandha regularly.
My wife has shown some mild symptoms the last few days, could just be sinuses, felt pretty bad when she woke up this morning but has since started feeling better.

Doesn't matter if they are upsetting your stomach spread them out.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
ETJ76
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Another question for you. I had covid in Dec. and it was a relatively light case. Had my first vaccine shot ten days ago. I felt bad for three days. Should I take my next shot scheduled in ten days or given my reaction, should I wait longer or possibly skip it? Thank again for helping so many of us!
L7 WEENIE
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Is this true?

https://vm.tiktok.com/ZMRduACrq/
Charpie
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I would start a new thread to discuss that
L7 WEENIE
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I will. I considered it but didn't want to start an unneeded thread if someone had quick info here
agforlife97
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Ryota Hayami said:

Is this true?

https://vm.tiktok.com/ZMRduACrq/
There are a lot of doctors seemingly who have decided it's okay to just say anything in order to try and convince more people to get vaccinated. I understand the impulse, but I'm not sure anyone is going to believe anything the experts say in the future because of this kind of thing. The recent fearmongering about kids and babies and covid kinda takes the cake in that regard I think.
scrap
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To vaccinate or not is a personal choice. Regardless of what you choose and especially for those individuals who have higher risk to danger from Covid 19 (obese, over age 70, diabetic, heart disease, ect) we should emphasize early treatment to this infection is critical.

What are your thoughts on the use of Ivermectin. Some doctors are touting this as a medicine that could end this pandemic. One study in Argentina involved 1200 frontline healthcare givers (nurses) where 800 were given Ivermectin and the other 400 a placebo (no medicine). This was a 8 month study and of the 800 workers, none contracted Covid19, of the 400 placebo participants 58% got Covid19. If true, Ivermectin should be a consideration for those who contract the virus as there are other studies that show it is highly effective in defeating this virus.

Here is a website that provides a lot of information on Ivermectin. There are several videos on this page but a very persuasive one is titled "Congressional Testimony on Ivermectin" by Dr Korey. Thoughts.

https://www.austincompounding.pharmacy/covidinfo

L1TexAg95
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Reveille said:

Gabe1 said:

If I did want my college at kid to get a vaccine, even though they had Covid last fall, which vax to a 20 year old may have the least chance of a long term side effect.
Moderna / Pfizer or J&J? Thanks


Don't think we know for sure. They are all very safe. The J&J being one shot is probably fine considering his age and the fact he has already had covid.
Similarly, my wife and I both had Covid last December. Flu-like symptoms, loss of taste and smell for about ten days.

She is pushing me to get the vaccine, she doesn't have hers yet either, but we have a trip coming up and she is afraid we won't be able to go if some of the lockdowns start up again.

I have been unwilling to get the vaccine becuase:
1. Covid wasn't that bad
2. I believe I have immunity from having it before and while I wasn't on a vent or anything close to that I felt pretty bad for a few days
3. I don't trust the rushed-through vaccine.

Thoughts on if I should get it and if so, which one??? Would I still get a vax card needed to travel if i only got one dose of the two-dose vax?

Edit: very healthy, active, 48

Thanks
Reveille
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L1TexAg95 said:

Reveille said:

Gabe1 said:

If I did want my college at kid to get a vaccine, even though they had Covid last fall, which vax to a 20 year old may have the least chance of a long term side effect.
Moderna / Pfizer or J&J? Thanks


Don't think we know for sure. They are all very safe. The J&J being one shot is probably fine considering his age and the fact he has already had covid.
Similarly, my wife and I both had Covid last December. Flu-like symptoms, loss of taste and smell for about ten days.

She is pushing me to get the vaccine, she doesn't have hers yet either, but we have a trip coming up and she is afraid we won't be able to go if some of the lockdowns start up again.

I have been unwilling to get the vaccine becuase:
1. Covid wasn't that bad
2. I believe I have immunity from having it before and while I wasn't on a vent or anything close to that I felt pretty bad for a few days
3. I don't trust the rushed-through vaccine.

Thoughts on if I should get it and if so, which one??? Would I still get a vax card needed to travel if i only got one dose of the two-dose vax?

Edit: very healthy, active, 48

Thanks
I would think you would still have some natural immunity however, data is showing higher antibody titers with the vaccine. With the Delta variant replicating up to 1000 times faster the stronger the immunity the better. I would think the vaccine would only strengthen your immune response. Any of the vaccines would probably be sufficient since you are healthy and have some natural immunity.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
AggieFactor
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Rev, are you still recommending 3-5 days for testing after possible exposure? 4 YO was playing with my brother for about 30-45 minutes in her playroom Saturday, he started having symptoms Sunday morning and had a positive rapid test today. Keeping her out of daycare per their policy until she has a negative PCR or stays out 10 days after exposure with no symptoms.

Trying to get her back in Pre-K as soon as possible so would Tuesday be too early or need to wait until at least Thursday.
Reveille
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AggieFactor said:

Rev, are you still recommending 3-5 days for testing after possible exposure? 4 YO was playing with my brother for about 30-45 minutes in her playroom Saturday, he started having symptoms Sunday morning and had a positive rapid test today. Keeping her out of daycare per their policy until she has a negative PCR or stays out 10 days after exposure with no symptoms.

Trying to get her back in Pre-K as soon as possible so would Tuesday be too early or need to wait until at least Thursday.

Yes most people turn positive within 5 days
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Warsteiner
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So I'm pretty sure I'm positive. I have a rapid test scheduled for tomorrow afternoon. That's as quick as I could get it.
Saturday morning I woke up feeling off. Some chills but no fever. I don't feel "bad", but I just feel off. It's strange. A little bit of congestion, and a raspy voice coming on. Still no fever as of today.
My mom (who was watching my kids all week) tested positive this morning. I found out one of my co workers tested positive yesterday.
Assuming I'm positive. What next? Infusions? Just supplements?
I'm mid 40s in fairly good health.
tmaggie50
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Well the rapid test will give you no idea whether you are positive or not ha. But in Houston if you go to a 24 hour clinic they'll require a rapid test just to get into the door. My wife is 2/2 on rapid tests. Required to take it just to be seen, tested positive, took the extended test and that came back negative both times. At that point, you're 3-4 days into whatever sickness you have and likely almost recovered.
Reveille
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Warsteiner said:

So I'm pretty sure I'm positive. I have a rapid test scheduled for tomorrow afternoon. That's as quick as I could get it.
Saturday morning I woke up feeling off. Some chills but no fever. I don't feel "bad", but I just feel off. It's strange. A little bit of congestion, and a raspy voice coming on. Still no fever as of today.
My mom (who was watching my kids all week) tested positive this morning. I found out one of my co workers tested positive yesterday.
Assuming I'm positive. What next? Infusions? Just supplements?
I'm mid 40s in fairly good health.
If you are healthy supplements are most important. You can also consider ivermectin via a televisit. Monoclonal antibodies are helpful but usually just recommend people with significant risk factors to go get them.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Warsteiner
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tmaggie50 said:

Well the rapid test will give you no idea whether you are positive or not ha. But in Houston if you go to a 24 hour clinic they'll require a rapid test just to get into the door. My wife is 2/2 on rapid tests. Required to take it just to be seen, tested positive, took the extended test and that came back negative both times. At that point, you're 3-4 days into whatever sickness you have and likely almost recovered.


Geez
Warsteiner
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Is it really ok to take 50,000 iu at once? That's like 25 pills....lol
Charpie
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My doc prescribed that much at one time with one pill...once a week
tmaggie50
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Warsteiner said:

Is it really ok to take 50,000 iu at once? That's like 25 pills....lol


I've done this a couple of times when I thought I may be getting sick and had no side effects from it.
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