The ZDoggMD Show Dr. Zubin Damania

The FDA advisory committee voted this week to reject approval of COVID Pfizer vaccine boosters for healthy people 16 and up. Here's what's up with that, and how we can better understand the booster question for the healthy and those at higher risk.

Links, transcript, video podcast: https://zdoggmd.com/fda-boosters

Your support keeps us independent and mild-to-moderately awesome: https://zdoggmd.com/supporters

Show, podcast, music, support, shop, social media, and email: https://lnk.bio/zdoggmd

Tha' Notorious VP returns to talk about the numbers around mandates, booster science or lack thereof, masking young kids, and more!

Video, transcript, and links: zdoggmd.com/vinay-mandates

Topic list:
1. The science on masking young children
2. Focusing on irrational views held by rational people
3. Bangladesh mask study promoting surgical masks over cloth in adults
4. Vaccine mandates, do they make sense to actually improve outcomes, an analysis
5. What’s going on with irrational college campus COVID policies
6. The testing industry’s influence on policy
7. FDA resignations and the controversy over COVID boosters
8. Potential flaws/bias in Israeli booster data sets
9. Creating psychological reactance and tribalization in response to mandates and poor communication
10. The John Mandrola myocarditis study controversy
11. #medtwitter madness and using vaccines off-label for kids
12. The Ivermectin overreaction in the media
13. The modern sensemaking crisis and the influence of social media in sowing division and silos
14. Vinay’s possible dystopian scenario on government overreach
15. Why the haters, and why block people on Twitter
16. The problem with credentialism
17. Analyzing haters
18. Why we need the Alt-Middle
19. Can you be religious and a scientist?
20. Recognizing our own blind spots and self-deception

Our leaders simply don't seem to understand human beings. At all.

One doctor's thoughts on the new proposed federal vaccine mandates. More at https://zdoggmd.com/vaccine-mandate

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Immunity(natural and/or vaccine-induced) is the only way through a pandemic. Dr. Gandhi returns to discuss how we get there.

We talk about the bungled messaging around vaccines, masks, and natural immunity, why vaccines decrease actual viral transmission, why the US got hit so hard with Delta & why shame backfires in public health, why masks and lockdowns can't end a pandemic, natural immunity & why a single dose of vaccine should be our recommendation, the correct thinking on "booster" vaccines, the distinction between antibodies levels & B and T memory cells in durable immune responses to coronavirus, why Dr. Gandhi's stance of vaccine mandates and immunity passports has evolved, the high rate of vaccine uptake among doctors, why death is not always the enemy (RIP Frodo), schools and equity (public vs. private), therapeutics like ivermectin, monoclonals, fluvoxamine, and more, turning the pandemic endemic like cold & flu, what's up with Mu variant, and more!

Video, transcript, and links: zdoggmd.com/monica-gandhi-5

Your support keeps us independent and mild-to-moderately awesome: https://zdoggmd.com/supporters

Show, podcast, music, support, shop, social media, and email: https://lnk.bio/zdoggmd

A front line critical care doc talks about how to preserve quality of life AFTER an ICU stay. Links to his new book, the video, transcript & more: https://zdoggmd.com/every-deep-drawn-breath or go directly to Amazon here: https://amzn.to/3haTaWP (early release video is here: https://youtu.be/GIRKIwV2VbY)

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Key Topics:
0:00 Intro

7:06 Importance of family in ICU care, especially with cultural/language issues

13:08 Testimonial injustice, the A2F Bundle, and a billionaire in the ICU

17:17 COVID & nurse burnout

20:13 Caring nonjudgmentally for patients regardless of their vaccine choices

24:56 The ethics of fetal stem cell lines in vaccine development (and some surprising truth)

28:30 Therapeutics analysis: ivermectin, JAK inhibitors, baricitinib

38:50 Allowing ourselves to feel with our patients, the importance of respecting faith paths

46:31 ICU delirium may damage higher cognitive systems and leave emotion intact (elephant and rider/system 1 and system 2)

54:19 The harm of excessive sedation and delirium as a predictor of death

58:53 PASC, Post-Acute Sequelae of COVID (AKA Long COVID)

01:03:48 Managing delirium and early mobilization in the ICU

01:09:37 Self-forgiveness, shame in medicine, and closing thoughts

New preprint data suggests prior COVID infection generates fantastic immunity. Can we talk about that? What it means for vaccines, mandates, and more.

Transcript, video, links: https://zdoggmd.com/natural-immunity

The Science article: https://www.science.org/content/article/having-sars-cov-2-once-confers-much-greater-immunity-vaccine-vaccination-remains-vital

Your support keeps us independent and mild-to-moderately awesome: https://zdoggmd.com/supporters

Show, podcast, music, support, shop, social media, and email: https://lnk.bio/zdoggmd