I typically visit a doctor (for medical reasons) ...
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I only go... (Score:4, Interesting)
When I am really sick. I try to avoid over reacting and going myself or taking my kids just because there's a cold going around the house or a simple flu that goes away in a day or two. Even though my insurance hides the cost to me I am aware of how expensive and in demand health care resources are these days!
Before anyone jumps on the statement about my kids; I do take them at least once a year for checkups and immunizations they may need that year.
Re:I only go... (Score:2)
Before I started bike racing (and the inevitable crashing... broken collar bone right now) I went about once a decade. 15 years without seeing a dentist. When I finally visited, no problems and still never had a cavity.
Re:I only go... (Score:2)
yea go see how much you can brush off a rock with those things. I didnt go to the dentist for like 10 years and he bent a stainless steel pick just scraping at the surface
Re:I only go... (Score:5, Funny)
I can't believe that you immunize/vaccinate your children! Do you not know about the autism risk? Repeated studies have shown that a whopping 1.13% of vaccinated children will develop some form of autism!!! Any reasonable person can't deny the effect that vaccinations have had on our children. In contrast, only a low 1.13% of unvaccinated children will develop a form of autism. Fact*: vaccines cause autism.
* Because if you can't believe a disgraced doctor who falsified his case studies, who can you trust?
Re:I only go... (Score:3, Informative)
I only believe research verified by former Playboy Playmates.
Re:I only go... (Score:2)
Amen, and I'll do you one better ... former Playmates who now hock e-cigarettes. Seems like she must have my best interests at heart!
Re:I only go... (Score:2)
Re:I only go... (Score:5, Informative)
You seem very proud of the fact that you do not get an annual flu shot or other vaccinations. You have already received at least one hostile comment because of this fact, and I must admit that my first impulse was to say something similarly vague, cryptic, and hostile. However, I realized that you might not be an asshole, but simply ignorant. On the off chance that you are actually concerned with people beyond yourself: vaccinations are important, even for people who feel that they never get sick.
Vaccination does two things: first, it keeps the individuals who have been vaccinated from getting sick; and second, it reduces the number of viable hosts, thus preventing diseases from spreading through society. Now, you might be willing to risk getting sick yourself, so the first may not matter to you, but the second should. Society benefits when people are not sickened and killed by preventable diseases. And make no mistake: influenza, pertussis, measles, chicken pox, and many of the other diseases for which we have vaccines can cause permanent damage or death.
There are people who cannot be vaccinated (the very young, people who are immunocompromised, and so on) and vaccines are not 100% effective, so some number of those that have been vaccinated are still vulnerable. The way to keep these people healthy is to ensure that the possible exposure to disease is limited as much as possible, which means relying on herd immunity. Herd immunity comes from vaccinating as many people as possible.
So please, if not for you, for the sake of the people around you, get vaccinated.
Re:I only go... (Score:5, Insightful)
No!
If I get the flu shot, I will feel lousy for two or three days, and my arm will hurt for at least 2 days. That only means I won't get the flu IF they guessed correctly what strain would be going around this year.
If I don't get the shot, I have a CHANCE of getting the flu, but most years I don't get it, and if I do get it. What happens? I feel lousy for two or three days. (But my arm doesn't hurt.)
I will continue to use a system that works for me, thanks.
Re:I only go... (Score:2)
Re:I only go... (Score:2)
Then I get the flu about once every 12 to 15 years, so getting Flu shot that MIGHT prevent the flu is still not a worthwhile use of my time.
Re:I only go... (Score:2)
Employers see about 1 fewer flu infections for every 30 jabs.
Crudely extrapolating, the flu vaccination will stop you getting flu about 2-3 times if you are very contentious about getting it.
But it's still worth it. The flu kills about half a million people each year, and many of the survivors have lasting effects.
Here's the professional opinion of your favorite ID doctor and mine wrt health care professionals: I wonder, are you one of those Dumb Asses who do not get the flu shot each year? Yes. Dumb Ass. Big D, big A. [medscape.com]
Re:I only go... (Score:2)
But it's still worth it. The flu kills about half a million people each year, and many of the survivors have lasting effects.
That's at least one, possibly two orders of magnitude too high. Even the total number hospitalized is far below half a million:
From 1976 to 2006, estimates of flu-related annual deaths ranged from a low of about 3,000 to a high of about 49,000, according to the U.S. Centers of Disease Control and Prevention (CDC).
http://www.webmd.com/cold-and-flu/news/20130926/cdc-reports-more-americans-getting-flu-shots [webmd.com]
Re:I only go... (Score:2)
From 1976 to 2006, estimates of flu-related annual deaths ranged from a low of about 3,000 to a high of about 49,000, according to the U.S. Centers of Disease Control and Prevention (CDC).
Taking the mid point as an estimate of the average, that's 26,000 US residents per year. Crudely extrapolating on a per-population basis this gives:
26,000 * (7118/314) = 589,000
The order of magnitude looks about right. I suspect taking a mid point would produce a high estimate of the mean, I also think that US mortalities would produce a low estimate of the global rate. Not everyone has access to that hospitalization that you were talking about.
Re:I only go... (Score:2)
Ah right, typical American assuming we were just talking about America. My mistake ;)
Re:I only go... (Score:2)
When you feel lousy for "two or three days"? That's a cold. That's not the flu. You are not some ubermensch who can fight off the flu in a few days.
Wikipedia says "Approximately 33% of people with influenza are asymptomatic.", so it would seem that you're wrong from the outset - 1/3 of people will, on average, fight it off without every developing symptoms, even with a complete lack of superpowers.
I don't get flu shots. I've thought about it. And i'm 3 weeks into something I caught that is just lingering on, so maybe right now I wish I had, but there's no guarantee that it wasn't just some non-influenza virus that made my sinuses infected.
Re:I only go... (Score:3)
Read what the CDC says - they have no incentive to sell more vaccines for the pharmas. If you still smell a rat, then please, I don't want to hear about it, you're beyond reason.
Re:I only go... (Score:2)
a) The flu vaccine is just over 50% effective, so it's basically a coin toss
b) 'Herd immunity' can't really develop when the vaccine barely works and the virus mutates constantly
c) Getting vaccinated every year has been shown to reduce the effectiveness of the vaccine by about 20%.
d) If you catch the flu, you're contagious without knowing it for about 2-3 days. If you get the vaccine, it protects all year.
So, you reduce the risk of having a 2-3 day window of making someone sick by 50%, in exchange for increasing the risk of catching the flu when *you* are the immune-compromised individual by 20% for the entire flu season.
So that's a -20% DMG armor that lasts for months for yourself, or -50% DMG armor for another party member that'll last 2-3 days...I'd advise everyone to take the 20% unless you know you're about to enter an epic battle (ie -- don't get the vaccine unless they're predicting an abnormally bad flu season)
Re:I only go... (Score:2)
You forgot to add one other 'what happens?': there is a good chance you will spread the flu to others, possibly some that have compromised or weaker immune systems.
Too bad. This is Earth. Life is dangerous, and no one gets out alive. Something will kill you -- car wreck, Kalahari lions, skydiving, gunfire, grenades, cancer, diabetes, ... flu. There's worse ways to go. Hell, when I'm old, I'd rather die of flu than of Alzheimer's or emphysema. It'd be quicker.
Grow some perspective. We're organisms surviving in a world of organisms. Sometimes the microscopic ones win. But everyone dies regardless. It's always going to be a struggle, because viruses and bacteria mutate faster than we do. We will never not have microscopic enemies.
Re:I only go... (Score:2)
...but since the majority are not selfish pricks the likelihood has been reduced for everyone.
Actually, Americans who do *not* get the flu vaccine are in the majority. The latest numbers I can find (2011-2012) are that only 45% of Americans get vaccinated.
Sucks for them -- repeated vaccinations make the vaccine less effective, so it's less likely to work when they are in poor enough health to actually *need* it.
Re:I only go... (Score:2)
Also, flu shots don't lead to feeling lousy for two to three days.
I think that people can get a couple of days of fever and malaise.
Common side effects following flu vaccination include soreness, redness, pain and swelling at the injection site, fever and malaise. These side effects are usually mild and resolve within a few days, usually without any treatment. [health.gov.au]
Better than the flu though.
Re:I only go... (Score:5, Insightful)
You seem very proud of the fact that you do not get an annual flu shot or other vaccinations.
You really shouldn't lump the annual flu shot with other vaccinations. Other vaccinations protect extremely well for a long time against very serious diseases with insignificant side effects. None of these describe the flu shot. The flu shot is a hastily concocted stew that, if it works at all, only works for one season against a disease that, in most forms, is not serious if you are otherwise healthy. Herd immunity doesn't work if you can't rely on those can be vaccinated to be immune. Unfortunately, even if absolutely everyone who could get the flu shot did, we still widespread flu in years where the primary strain was guessed incorrectly and limited cases even they guessed right because there is never just one strain.
Re:I only go... (Score:2)
My main point was about the benefits of vaccination in general, and not the benefits of specific vaccines. I only mentioned influenza in passing, as it is one of the diseases for which we have pretty good vaccines (most of the time), and it is a disease which can be quite dangerous (even in healthy people---there is some evidence to suggest that cytokine storms [wikipedia.org] caused by influenze may be more dangerous to those with healthy immune systems in the event of a pandemic flu). That said, most physicians (and the CDC) will tell you that you don't really need a flu shot if you are healthy and don't hang around with vulnerable populations (again, the very young, the very old, the immunocompromsied, and so on). I considered mentioning this, but since I felt it diluted the overall message of "Please get vaccinated," I omitted it---a competent physician should be able to help a person decide which vaccines they need or don't need.
Again, the point is that one should get vaccinated. It benefits society at large. The specific schedule of vaccination for any particular person is something that should be discussed with a competent physician.
Re:I only go... (Score:4, Insightful)
The poster you just replied to took the words right out of my mouth.
While I agree with you, and not a lot of people seem to disagree here, that vaccinations against dangerous diseases are a good thing, I think over-medication is the bane of our health care systems.
In the Netherlands, doctors have a reputation for not easily medicating people. We're cautious about antibiotics, we're cautious about many types of drugs. The usual response of a Dutch doctor to fever is that as long as it's not over 40 degrees C and doesn't last for longer than three days, it's nothing to worry about. Of course this can be nuanced based on symptoms seen, but you get the gist of it.
This means that the amount of people that develop an immunity to antibiotics and whatnot is much lower than in countries such as Israel and Bulgaria, where people tend to be over-medicated in my view.
To get back to vaccination, I do think it's our collective responsibility to weed out things like polio, diphtheria, pertussis and tetanus as much as we can, not getting flu shots is hardly morally offensive for the reasons already stipulated by the poster above.
In the Netherlands there's a huge debate over religious freedom vis a vis the vaccination of children from families that are religious to the point where they don't vaccinate. I'm going to go out on a limb here and say that it's a collective responsibility to make sure these children don't fall victim to their parents' backwards views.
What you believe should be your prerogative, but as soon as you let it endanger unsuspecting minors your belief should be a secondary concern relative to the safety of those unsuspecting minors.
Either which way, a degree of nuance is called for in any such debate, so I don't think you should make messaging as simple as a blanket statement of "please get vaccinated" any more than you should advise people not to get vaccinated at all.
Re:I only go... (Score:2)
The flu shot is a hastily concocted stew that, if it works at all, only works for one season against a disease that, in most forms, is not serious if you are otherwise healthy.
Interesting trivia: most bad flu strains kill via a cytokine storm [wikipedia.org]. Your body releases cytokines to trigger an immune response, and that immune response triggers the release of more cytokines. Some pathogens, like particular flus, remove the throttle that otherwise keeps that positive feedback loop from overwhelming and destroying your own body. Oh, and the cytokine response is strongest in young people with healthy immune systems.
In other words, in the event of a bad flu epidemic, that "otherwise healthy" immune system will kill you.
Whatever reasons you can give yourself for not getting a flu shot, "I'm young and healthy" is absolutely, positively 100% not one of them.
Re:I only go... (Score:2)
Re:I only go... (Score:2)
According to the CDC, the death rate for influenza/pneumonia in 2011 [cdc.gov] was about 54,000 - behind diabetes, but ahead of kidney disease and suicide.
By comparison, the most hysterical count of vaccine deaths given by anti-vaxxers was about 1,000 out of about 130 million vaccines given [cdc.gov]. This means that even for people who suck at math and logic, it's far safer to get the vaccine than not to.
Re:I only go... (Score:2)
I'm sorry, do we have a reading comprehension problem here? I did not say "flu/pneumonia", I said flu. Pneumonia is a different disease. And I did not say "total deaths", I specified deaths of young and healthy people. Your second statistic is completely meaningless and out of context. It is you, sir, who fail at math and logic.
So I'll repeat my question. How many *young and healthy* people died from *the flu* last year?
Re:I only go... (Score:2)
I did not say "flu/pneumonia", I said flu.
It's difficult to count, because it's not standard practice to find virus that killed someone of "flu/pneumonia". But "in a given season the influenza virus may account for around 10-15% of flu like illness in the community, although during epidemics influenza can account for 60% of flu like illnesses." Mark Crislip [sciencebasedmedicine.org]
So I'll repeat my question. How many *young and healthy* people died from *the flu* last year?
I don't know. How many do you think?
I do know that young and healthy people that don't get vaccinated are safer from zombie apocalypses than from influenza. Zombies eat brains.
Re:I only go... (Score:2)
a) The flu vaccine is only 56% effective, so it only reduces the risk of dying by half
b) 90% of flu deaths are infants or elderly -- the total number in the 19-65 age range who die every year is closer to 5,000, so if you're in that group you're pretty safe.
Granted, you're still less likely to die of the vaccine than the virus...but that's not the point. I'm more likely to die because I smoke and eat cheeseburgers and drink alcohol, but I (and plenty of others) still do these. When you're doing a risk vs. reward you can't just compare the worst possible risk and ignore everything else.
The vaccine is *guaranteed* to cause some discomfort and inconvenience every single year. It's also got a laundry list of possible side-effects, which you risk every single time you get it. And it may also reduce in effectiveness after repeated annual vaccinations, meaning that when you *are* in that high-risk group, your odds of succumbing may be greater if you get vaccinated while you aren't.
Re:I only go... (Score:2)
against a disease that, in most forms, is not serious if you are otherwise healthy.
Half a million kills per year.
It's more serious than breast cancer, in terms of deaths.
Herd immunity doesn't work if you can't rely on those can be vaccinated to be immune.
This is not true. The number of people required to be vaccinated before herd immunity kicks in is a function of the virulence and infectiousness of the disease, as well as the effectiveness of the vaccine, but you don't need the vaccine effectiveness to be 100% for Herd Immunity to kick in.
For influenza herd immunity kicks in somewhere around 80 or 90% vaccinated: The objectives of vaccination coverage proposed in the United States - 80% in healthy persons and 90% in high-risk persons - are sufficient to establish herd immunity, while those proposed in Europe - only 75% in elderly and high-risk persons - are not sufficient.The vaccination coverage required to establish herd immunity against influenza viruses. [nih.gov]
Re:I only go... (Score:2)
You seem very proud of the fact that you do not get an annual flu shot or other vaccinations.
Setting aside the debate about the value of vaccinations (although I don't think there is much valid debate personally), you don't need to go to the doctor to get your annual flu shot or most vaccinations. I get my annual flu shot at a local pharmacy (Rite Aid, Wall-greens, Costco, etc.). I don't count that has a "doctor visit". Even on my inexpensive "high deductible" health plan, such vaccinations are free with no copay or deductible. Even without insurance, a flu shot at a local pharmacy is pretty inexpensive - about $25 where I am at.
Re:I only go... (Score:2)
Society benefits when people are not sickened and killed by preventable diseases.
Quite probably, in the short term, although I don't think any studies have been made.
In the long term, I'm not so sure - with most diseases, the weakest will die off more than the strongest, which improves the overall healthiness of the species.
Just like predators culling a herd of prey leads to healthier prey, there may be a balance here.
Personally, I have nothing against decimating the population every few years, if it leads to stronger humans in the long run.
Re:I only go... (Score:2)
So we're supposed to hate on people for not getting flu shots?
Re:I only go... (Score:2)
So please, if not for you, for the sake of the people around you, get vaccinated.
For the sake of your shares in the pharmaceutical companies, you mean?
If i don't get a vaccine and everyone else does, how are they at risk from me? If they catch whatever they're vaccinated against from me, then the vaccine obviously doesn't work!
Re: I only go... (Score:5, Informative)
The single dose flu vaccines, which is all the nasal type, do not contain thermisol/mercury.
Re: I only go... (Score:5, Informative)
That's true, mostly because the anti-vaccine movement keeps flogging that old dead horse that thiomersal (or thimerosal in the US), the anti-fungal agent containing mercury II used in some formulations of the flu vaccine, is toxic or causes autism. It's not actually a reason to not get vaccinated, because vaccination doesn't cause autism and getting a microscopic dose of a mercury-based compound once a year is not going to do you any meaningful harm. On the other hand, people who refuse to get vaccinated and pass on the flu to their elderly neighbours kill thousands of people every year.
From the CDC:
Is thimerosal in vaccines safe?
Yes. There is a large body of scientific evidence on the safety of thimerosal. Data from several studies show the low doses of thimerosal in vaccines do not cause harm, and are only associated with minor local injection site reactions like redness and swelling at the injection site.
Three U.S. health agencies (The Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), and the National Institutes of Health (NIH)) have reviewed the published research on thimerosal and found it to be a safe product to use in vaccines. Three independent organizations [The National Academy of Sciences’ Institute of Medicine, Advisory Committee on Immunization Practices (ACIP), and the American Academy of Pediatrics (AAP)] reviewed the published research and also found thimerosal to be a safe product to use in vaccines. The medical community supports the use of thimerosal in influenza vaccines to protect against potential bacterial contamination of multi-dose vials.
http://www.cdc.gov/flu/protect/vaccine/thimerosal.htm [cdc.gov]
Re: I only go... (Score:3)
"I'm not mercury/thimerisol basher, but it isn't entirely true that vaccination can't cause autism."
[Citation needed]. Preferably one not involving made up data that's since been retracted by the journal it originally appeared in.
Re: I only go... (Score:5, Insightful)
"I'm not mercury/thimerisol basher, but it isn't entirely true that vaccination can't cause autism."
[Citation needed]. Preferably one not involving made up data that's since been retracted by the journal it originally appeared in.
It's actually a moot point. Even if there were a proven link between vaccines and autism the risk of getting measles, chicken pox, influenza, or other nasty and potentially fatal diseases is far greater than the risk of getting autism. Any parent who doesn't vaccinate for fear of autism is showing *horrible* risk assessment skills.
Re: I only go... (Score:3)
"I'm not mercury/thimerisol basher, but it isn't entirely true that vaccination can't cause autism."
[Citation needed]. Preferably one not involving made up data that's since been retracted by the journal it originally appeared in.
It's actually a moot point. Even if there were a proven link between vaccines and autism the risk of getting measles, chicken pox, influenza, or other nasty and potentially fatal diseases is far greater than the risk of getting autism. Any parent who doesn't vaccinate for fear of autism is showing *horrible* risk assessment skills.
My kids will receive all their vaccinations. That being said-
We were absolutely terrified about our children being autistic. An autistic child is not something I would wish on anyone. All the extra care which has been shown to help is generally not covered by insurance. This can basically ruin the family finances, destroy any hope of following a sensible retirement plan, suck up every waking moment of your life, and you still have the fact that the kid will never really be "normal" and may never be truly independent*. If vaccination did have some link to autism, it would give me a lot of pause.
*I mean no offense to anyone, but I can say with certainty that I don't have the emotional strength to deal with an autistic child every day, even my own. Some people have the required optimism and strength, I do not.
Re: I only go... (Score:3)
but it isn't entirely true that vaccination can't cause autism.
It's entirely true that there is no statistical evidence of a correlation.
It isn't the mercury, it is the potential for overloading the immune system.
This has been refuted by the science. Also, in a modern western environment the Immune system is bored out of its tree. There's a very plausible hypothesis that too much hygiene is causing it to overreact and cause allergies.
Vaccines do not overwhelm the immune system. Although the infant immune system is relatively naive, it is immediately capable of generating a vast array of protective responses; even conservative estimates predict the capacity to respond to thousands of vaccines simultaneously [30]. [oxfordjournals.org]
But several vaccines, injected into a weakened but not quite obviously compromised immune system over a short period of time? That is a differnet story. That person may become overwhelmed, and then its an open question on what collateral damage may occur.
No, it's not an open question. Several vaccines aren't even close to making the immune system begin to speculate of the merest possibility of breaking a sweat.
Anyway, that is the new, and relatively legitimate science, route the "vaccines cause autism" reaserch is going.
Do you have a link to any scholarly papers that form part of this relatively legitimate science? Because I sounds wrong to me. For one thing Vaccines are correlated to Autism, so looking for a possible causal link seems unscientific.
Vaccines And Autism: Many Hypotheses, But No Correlation Found [sciencedaily.com]
Vaccines Not Linked To Autism. Again. [forbes.com]
Re: I only go... (Score:3)
Re: I only go... (Score:2)
Drinking water contains mercury too.
Re: I only go... (Score:5, Informative)
A half ml dose of vaccine contains about 25 micrograms of mercury [fda.gov] (being in about 50 micrograms of thimerisol).
White Tuna has an average of 0.407 ppm Mercury [nih.gov]. That means that you get about 70 micrograms in a 170g tin.
Note also that the Mercury in the vaccines is easier for the body to clear. (Being Ethyl Mercury, not the Methyl Mercury you get accumulating in fish.
Re:I only go... (Score:3)
I would avoid any hospital that I knew did not enforce this policy.
Re:I only go... (Score:2)
She works in a small hospital in western Pennsylvania. The rule there is that you either get a flu vaccine or wear a face mask all flu season. She opts for the face mask. Which I'd personally much prefer as a patient considering that the flu vaccine is only about 50% effective -- the masks are going to protect the patients FAR better than getting the vaccine would.
Re:I only go... (Score:2)
-- the masks are going to protect the patients FAR better than getting the vaccine would.
How does she nurse without touching the patients?
Re:I only go... (Score:2)
The flu doesn't seep out of your pores. As long as you wash your hands after touching any orifices (which nurses sure as hell better be doing anyway) a face mask will be more than sufficient.
And I bet the masks nurses use are gonna beat the 95% effectiveness of the dirt cheap dust mask I bought at Lowes...compared to the 56% effective rate of the influenza vaccine. So yeah, I'm still thinking I'd prefer the face mask.
Re:I only go... (Score:2, Informative)
My mother is a nurse. She never gets a flu shot and advises me to do the same.
FFS, send her to an ID specialist to get a proper opinion, or at least forward her this one. [medscape.com]
I've included the relevant responses to the objections that you make:
Flu shots have a pretty good chance of just giving you the flu.
1) The flu shot gives me the flu. Dumb Ass. The shot is a killed vaccine. It cannot give you influenza. It is impossible to get flu from the influenza vaccine, either from the shot or the live attenuated vaccine..
They have a pretty good chance of not working at all (because there's many strains of the flu).
10) I received the vaccine and I got the flu anyway. Inexact Dumb Ass. The vaccine is not perfect and you may have indeed had the flu. More likely you called one of the many respiratory viruses (viri?) people get each year that they call ‘the flu’. Remember there are dozens of potential causes of a respiratory infection circulating, the vaccine only covers influenza, the virus most likely to kill you and yours.
And they can sometimes cause other dangerous complications.
13) The flu vaccine is not safe and has not been evaluated for safety. Computer illiterate Dumb Ass. There are 1812 references on the PubMeds on safety of the flu vaccine as I write this and the vaccine usually causes at most only short term, mild reactions. All health care requires weighing the risks of an intervention against the benefits. For the flu vaccine all the data suggests huge benefit for negligible risk. And as a HCW, it could be argued that we have a moral responsibility to maximize the safety of our patients.
[...] flu shots are only valuable if you're old or in otherwise poor health where catching the flu could actually be fatal.
3) Only old people get the flu. Selfish Dumb Ass. Influenza can infect anyone, and the groups who are more likely to die of influenza are the very young, the pregnant, and the elderly. Often those most at risk for dying from influenza are those least able, due to age or underlying diseases, to respond to the vaccine. Like your patients. You can help prevent your old, sickly Grandmother or your newborn daughter from getting influenza by getting the vaccine, so you do not get flu and pass it one to her. Influenza, by the way, is highly contagious, with 20% to 50% of contacts with an index case getting the flu. However, Granny may be sitting on a fortune that will come to you, and killing her off with influenza is a great way to get her out of the way and never be caught. That would make a good episode of CSI.
Re:I only go... (Score:3, Informative)
Most of the people I know who used to get flu shots later caught the flu.
10) I received the vaccine and I got the flu anyway [medscape.com]. Inexact Dumb Ass. The vaccine is not perfect and you may have indeed had the flu. More likely you called one of the many respiratory viruses (viri?) people get each year that they call ‘the flu’. Remember there are dozens of potential causes of a respiratory infection circulating, the vaccine only covers influenza, the virus most likely to kill you and yours.
Many of the people I know who had flu shots immediate felt so sick they would rather have had the flu.
7) The vaccine is worse than the disease. [medscape.com] Dumb Ass AND a wimp. What a combination. Your mother must be proud. Unless you think a sore deltoid for a day is too high a price to pay to prevent two weeks of high fevers, severe muscles aches, and intractable [...]
Especially since I've had the flu perhaps once in my adult life.
2) I never get the flu, so I don’t need the vaccine. [medscape.com] Irresponsible Dumb Ass. I have never had a head on collision, but I wear my seat belt. And you probably don’t use a condom either. So far you have been lucky, and you are a potential winner of a Darwin Award, although since you don’t use a condom, you are unfortunately still in the gene pool. [...] Nice going.
Re:I only go... (Score:2)
Most of the people I know who used to get flu shots later caught the flu.
They know this...how?
Do they have a detection kit at home to distinguish between flu and any other type of sniffle they might catch?
Re:I only go... (Score:2)
When I get sick I tend to let my body fight it off, granted I will eat super healthy to help my immune system.
Your immune system is finely tuned between fighting off infections and autoimmune diseases. Eating super healthy is a good idea, but it doesn't have a particular effect on the action of the immune system, compared to other systems of the body. And this is just as well, because you don't generally want to perturb it unless you're immunodeficient or highly allergic / suffer from an autoimmune disorder.
Re:I only go... (Score:2, Insightful)
You assume the gp is doing the "body fight it off" at work. I do the same while staying home and resting, just not going to the Dr.
Re:I only go... (Score:3)
You're often contagious long before you're symptomatic. Not getting vaccinations is as mathematically stupid as playing the lottery, just in the opposite direction.
Re:I only go... (Score:3)
Thanks for making everyone around you sick.
Maybe they should vaccinate themselves so they don't get sick...
Re:I only go... (Score:4, Insightful)
I'm the same here with 10+ years of no doctor visits. I rarely even get sick though so there's no worry about spreading; maybe happens every 18mo or so where I just get floored. Though there are times I do go in to work... because it's warm there and the medicine cabinet is free. I'm closed in with my own office though so there's that.
So for all you know, your blood pressure, blood sugar and cholesterol are enormous and you're ready to pop.
Re:I only go... (Score:3)
We already were under the medicare/medicaid program and the costs of their emergency room visits that are spread out to the rest of us.
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Re:I only go... (Score:2)
Thanks for making everyone around you sick.
Immune systems are underrated by modern western society.
And will be until someone patents natural recovery
Lots of types of doctors (Score:2)
Yearly trip to the dentist - or so. Yearly trip to the eye doctor - or so. Even without being sick, 1 or 2 would seem reasonable. And of course, there's always the vet.
Re:Lots of types of doctors (Score:2)
Yearly trip to the dentist - or so. Yearly trip to the eye doctor - or so. Even without being sick, 1 or 2 would seem reasonable. And of course, there's always the vet.
Similar annual trips, only, Dentist (x2 cleanings per year), oncologist, gp, dermatologist, ophthalmologist, annual PET scan and soon the proctologist/urologist will end up on the list. Getting old sucks! But, I do know a lot of doctors. :) If something does happen I now have a network where I am probably only two phone calls away from a recognized specialist in whatever might be needed. I don't mess around with that hero "I don't need to see a doctor unless I am really sick" thing anymore. Not since Hodgkin's. That's an unfortunate wake up call every one of these low annual doctor visit people may experience. Given that 60% of Americans will get one form of cancer in their lifetime, the call will catch you in a bad way unless you take your health and doctor's visits as seriously as you do your data security and backups! Priorities a little out of whack if you take better care of your company's data than you do your own life. Don't wait for the wake up call. Use this post as it!
Re:Lots of types of doctors (Score:2)
All the recommended trips (Score:4, Interesting)
I have good medical insurance (Score:5, Interesting)
So that means I have a basic schedule - wife and I each get 2 dental cleanings a year, 1 wellness exam, etc. These are all "preventative" care so they cost me nothing (excluding the cost of my insurance). Then there's my psychiatrist, 2-3 times a year. Then I usually get "sick enough" to go get some antibiotics once or twice a year. Beyond that it's different every year-- wisdom teeth, flu, ER visit for a head injury, X-ray for a hand injury, wife had gallstones and had her gallbladder removed, things like that. Since I have good health insurance, I never look for reasons to avoid going to the doctor. If there's something wrong, even if it's minor, I go to the doctor and get it taken care of. 10+ doctor visits a year, easily.
My sister-in-law, on the other hand, has various annoying health problems that she's had for years and never has the time or money to address. Cavities, broken teeth, infected cysts, back pain. She works for an hourly wage and has no health insurance. Many doctors won't even take her on as a new patient, presumably because she couldn't afford them. She goes to the ER when she has something scary going on, like chest pain, but otherwise doesn't ever go to the doctor or the dentist.
Whatever this country decides to do about healthcare, I understand that any change will only make my insurance coverage get worse/more expensive, but that's because I already have the best. I also know that there are a lot of people like my sister-in-law out there, who really need some fucking help. I hope Obamacare pans out, I really do.
Re:I have good medical insurance (Score:2)
Yearly check-up and blood pressure. (Score:2)
We have a yearly legally mandated check-up. I also have moderately high blood pressure and need to refill my diuretic prescription every three months. That alone makes for five visits a year. And if there's something else, that simply adds to it. So 5-8 visits in a year would be completely unsurprising.
If you add dental appointments and accompanying a family member I easily show up at a medical office more than once a month on average.
Re:Yearly check-up and blood pressure. (Score:2)
when something... (Score:5, Funny)
I go when something that should be on the inside is suddenly on the outside, or when something that should be on the outside is suddenly on the inside.
Re:when something... (Score:3)
I always thought buttsex was an insie thing. I am intrigued by your mention of this outsie buttsex, and should like to suscribe to your newsletter
I guess I'm not indestructible after all (Score:5, Insightful)
Re:I guess I'm not indestructible after all (Score:5, Funny)
What's that joke about the British {or any other developed nation in the world} doing a remake of Breaking Bad? Walt gets diagnosed with cancer in Episode 1 then the rest of the show is about him receiving free high quality cancer care?
Re:I guess I'm not indestructible after all (Score:3, Funny)
This is most likely what you're referring to : http://www.vancitybuzz.com/wp-content/uploads/2013/09/post-13094-Breaking-Bad-Canada-EioT-1.jpeg
Comment removed (Score:2)
Re:I guess I'm not indestructible after all (Score:3)
I don't think the joke is really about the quality of care (I agree with you that US care for advanced and complicated conditions is better than most parts of the world (just don't look up where the US rates for infant mortality)). It's about being able to pay for it. In the show, Walt is receiving good care - it's not that he can't access care, it's that the cost of that care would be economically devastating for him and his family without some form of 'outside support'.
In the US in 2013, three out of five personal bankruptcies were caused by inability to pay medical bills not covered by insurance.
http://www.nerdwallet.com/blog/health/2013/06/19/nerdwallet-health-study-estimates-56-million-americans-65-struggle-medical-bills-2013/ [nerdwallet.com]
Re:I guess I'm not indestructible after all (Score:5, Insightful)
A quarter of medicare payments happen in the last year of life (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2838161/). Those "ghetto-rat-wanna-be-gangstas and trailer-trash-nascar-fans" are still racking up some pretty spectacular healthcare bills as they die of cogestive heart failure and lung cancer. If they have health insurance (from changing tyres at nascar races or whatever) then the cost is carried by all of us through increased premiums. If they make it to age 66 then it's carried by all of us through taxes. If they get their healthcare through the emergency room then you better believe we all carry the cost because that's about the most expensive form of healthcare on the planet, and we all pay for it through either taxes or insurance premiums or a mix of both depending on whether the hospital is public or private. As many many other coutries have discovered, it's a lot fucking cheaper to just have universal healthcare and remove the profit-making middlemen from the equation.
Re:I guess I'm not indestructible after all (Score:2)
receives != merits
Re:I guess I'm not indestructible after all (Score:3)
I'm Canadian, while the medical system here is not perfect, not having "decent" health insurance is not a life or death or bankruptcy situation. The whole anti-Oamacare movement is baffling to most of us up here.
Re:I guess I'm not indestructible after all (Score:4, Insightful)
I go often. (Score:2)
Mostly dentists since I was born with many disabilities and many health issues (getting worse too as I get older). It sucks! :(
Not for over 20 years (Score:2)
Last time I went to the doctor was when I needed a physical for a mainframe computer operator job in the late 80's. ;)
Now you understand why insurance is so lucrative (Score:2)
Re:Now you understand why insurance is so lucrativ (Score:2)
Do you understand how insurance works? Not just "medical insurance", but the concept of insurance in general?
Because the fact that you typed that second sentence seems to indicate you don't.
Everyone should have regular visits (Score:4, Interesting)
When you're younger, maybe not once a year, but don't assume you don't need to. It's good to have things like potential problems discovered proactively. I did bloodwork years back and found out I was approaching the prediabetes range which gave me plenty of time to address it without it becoming a chronic condition.
When I need a prescription (Score:2)
I was raised by a nurse...which means if I'm well enough to make myself a cup of tea every couple hours, I'm not going to the doctor. Unless I know I need something, like when I get an infection and have to schedule a visit to get antibiotics.
Doesn't help that usually when I *do* go see a doctor they just made things worse. Last time I went to actually see a doctor was when Swine Flu was the big thing and I had all the symptoms (I've gotten lab tests since then, with the analysis and prescriptions done over the phone -- which was great) and they did a flu test, said I didn't have the flu, loaded me up with steroids to take down inflammation (which didn't work); antibiotics even though they themselves said they were pretty sure it was viral; and Codine cough syrup which I stopped taking because it made me cough up blood.
Also doesn't help that the last time I tried to schedule a doctor's appointment (for a simple infection) I was told it would be *three months* before they could get me in. And the local clinics didn't test for what I already knew I had. Which is why I ended up going with a company that'll schedule you at a local lab and outsource the actual doctoring part. Scheduled the tests on a Friday, had my prescription in hand by Tuesday. $200 out of pocket was totally worth not having to live with that crap for three months.
US healthcare sucks so much...
Stupid insurance (Score:3)
My employer's insurance company madates an annual checkup to get "prefered" rates. (Out of pocket doubles if you don't jump through a few hoops.)
Every time I've gone, nothing good has come of it. I'm currently fighting a +$600 bill for a CAT scan I never wanted, to diagnose some marginal test results. Turns out I have a gall stone. Most people do. And the recommended treatment is.... wait for it.... nothing. Ignore it until it causes problems.
My doctor is milking the system every chance he gets, running every test he can marginally justify.
If I had my way, I'd go to the doctor once every 20-30 years.
then I got married (Score:2)
Well hell... not for medical reasons... (Score:2)
Speaking as a crazy person (Score:2)
Re:Speaking as a crazy person (Score:2)
Only When Absolutely Necessary (Score:2)
I only go to medical doctors (as opposed to dentists and eye doctors) when absolutely necessary. Same with going to hospitals. Way too many people around either who are sick or dying. I'd rather hang with the other healthy people.
Cheers,
Dave
Everyone on maintenance medication (Score:2)
Everyone on maintenance medication needs to visit once approximately every 90 or 180 days to get the prescription renewed. I'm guessing the survey isn't taking the "Oh. That." effect into account.
Re:Everyone on maintenance medication (Score:2)
Missing option: "Dammit, Jim, ... (Score:3, Funny)
Re:Happy Canadian (Score:2)
Eye care and dentist is not free in Canada, and actually pretty expensive.
Re:Happy Canadian (Score:2)
going to the doctor once a year is good for you, and good for keeping healthcare costs down. Preventative treatment of things is key to keeping costs of expensive surgeries and treatments at later stages of disease and injuries. I'm guessing you are probably healthy but man you should get checked out. I got checked out and found out I had high blood pressure and cholesterol which apparently after talking to my dad every male person in my family has. Thing is, you never know unless you get checked out. Go get checked out.
I think that's why having free healthcare for everyone can end up being cheaper and extending peoples life spans. You end up with people not afraid of a doctors bill, or increasing premiums. You can go in get checked out and if they find something you're in better shape to get treated.
Re:Happy Canadian (Score:2)
No cavities doesn't mean no work done. I go 2-3/year for descaling so I can have a white toothy smile instead of hillbilly corn nibblet teeth.
Re:Physicians are useless (Score:3)
Bleh. Unless you're actively spurting blood from someplace, physicians are bloody useless. Haven't solved a single problem I've ever had over the years.
My internist saved my life. Found a tumor that was asymptomatic and would have killed me in a few years.
Re:The microchips! (Score:2)
Re:Privacy (Score:2)
Probably asking what we are willing to pay for health insurance premiums.
Re:Privacy (Score:2)
Re:Because hospitals are terrible places (Score:2)
they have doctors outside of hospitals