man there’s been a lot of talk about how nurses are acutely suffering during COVID times but almost no one -- including and especially hospital administrators -- seem to grasp how royally this is going to fuck everyone over after COVID for years and years to come. experienced nurses don’t grow on trees! burnout, depression, compassion fatigue, and trauma are near universal, half the nurses and doctors I know crack jokes about how “it’s not a drinking problem, it’s a drinking habit!”, and the only thing anyone is talking about is “how can we leave here” -- travel nursing, retirement, cushy outpatient private practice. why break your soul working inpatient when you could get paid x4 your current rate to inject rich housewives with botox? anyone who’s got the credentials and experience to do so is jumping ship while they still can. like hey, anti-vaxxer, you survived COVID but end up in the CVICU for a massive heart attack five years from now. fantastic, your treatment team will be one divorced veteran nurse with PTSD who hates everyone now and the three junior nurses with borderline alcoholism and chronic workplace back injuries whose nursing skills all come from virtual simulations and preceptors showing them workarounds because no one had time to actually do anything properly. and everyone, including people who are pro-vaxx, who are as sick as I am with our fellow citizens’ bullshit, seems to think that once COVID goes away, the healthcare workforce will snap back to where it was before late 2019, and it won’t!!! you will be seeing the effects of COVID in our healthcare system for decades to come, and they will be bad.
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President Hillary Clinton would’ve had three Supreme Court appointees and the Democratic Party would control the Court 6-3 today. If Texas still tried to pass SB8 it would’ve been struck drown yesterday.
Some of you need to apologize to Hillary Clinton, to her supporters, and to the country.
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The mRNA vaccines (Pfizer and Moderna) are kind of brilliant at a science level. I've had a few people in my real non-Twitter life ask me to explain how it works so I'm going to try my best here in this thread while I'm waiting for a patient to show.
The first thing to know is how your immune system works. Basically, your immune cells attack anything foreign to your body. If it sees a protein or a virus or a bacteria or anything that it doesn't recognize, it launches an attack.
If it's fighting off a virus, for example, it takes time to build up a full attack. It's got to figure out what part of the virus to attack & ramp up production of what it needs to attack those parts. That can take a few days. Meanwhile the virus is replicating and expanding.
So scientists took the blueprint for the asshole protein on COVID and made an mRNA version of it. Literally just the instructions on how to make that protein.
These instructions "are" the vaccine.
Let me explain.
The vaccine contains no actual part of the virus. It has only the instructions on how to make the asshole protein. So, you can't get infected with COVID from the vaccine. You just get these instructions.
Your cells see these instructions and say "sure, I'll make this." So your cells make a bunch of the asshole protein.
You immune system sees this new protein you're producing and immediately says "what... the fuck... is this?" And it starts attacking the protein.
Remember it hasn't seen this protein before. It takes awhile to ramp up production. Then it launches an all out war against the asshole protein. The fevers, chills, muscle soreness, etc you might get as vaccine side effects is your body bombing the hell out of the asshole protein
So you destroy the asshole protein (which in and of itself can't infect you, it's just a protein, not the virrus.)
Now here's the important part. Your memory cells 'remember' the asshole protein. They remember exactly how to destroy it.
By the way, your body breaks down the mRNA instructions that you got with the vaccine pretty quickly too. That's normal. You don't need a bunch of instructions hanging around forever. You body breaks those down and gets rid of them.
So you've broken down the mRNA instructions. You've destroyed asshole proteins. Everything from the vaccine is gone.
Exept for those memory cells who remember that protein very well.
So then, a COVID virus enters your body. Your body has never seen the virus before.
But it's seen that protein that's on the outside of the virus. Your memory cells say "you've got to be kidding me, THIS asshole again? Get the fuck out of here!"
Your body's own 'natural immune system' quickly and efficiently launches an all out war, using the template it has from when it destroyed the asshole protein last time. It destroys the virus before it can take hold, replicate, and make you sick.
Congratulations! Now, you're immune to COVID! You've got the blueprints to defeat it as soon as it enters your body.
What if the virus mutates so it doesn't produce the asshole protein any more? Well, since it uses the asshole protein to get into your cells, if it mutates away from the asshole protein, it'll probably also be less infectious. That's what makes the vaccine low-key brilliant.
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Okay, this is a bit of a side-track from that last post, which is why I’m addressing it as a separate post rather than a reblog, but: if you think having an issue with lack of universal health care is a uniquely American thing, I’m gonna guess you’re probably able-bodied and don’t suffer from any major chronic illnessess. Basically every socialised health care system on the planet is centred around the needs of healthy, able-bodied people; anybody who’s disabled or chronically ill in any significant capacity and lives somewhere that has allegedly universal health care has almost certainly encountered some pretty significant omissions in the operative definition of “universal”.
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