TWiV 1094: Clinical update with Dr. Daniel Griffin

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  • เผยแพร่เมื่อ 11 ธ.ค. 2024

ความคิดเห็น • 109

  • @lesfaby8997
    @lesfaby8997 9 หลายเดือนก่อน +15

    _TH-cam timestamps by Les_
    00:41 Bowtie de Jour
    01:29 Quotations (Nietzsche, Daniel's mom)
    *Stats*
    02:01 *RSV*
    03:27 *Flu*
    04:01 *CoViD*
    05:55 CDC released respiratory virus guidance
    20:51 Active Vaccination section
    effectiveness of the new SARS-CoV-2 vaccines (MMWR)
    www.cdc.gov/mmwr/volumes/73/wr/mm7308a5.htm
    27:31 *Early viral phase*
    28:11 combined protection of vaccination and nirmatrelvir-ritonavir
    against hospitalization in adults with covid-19 (CID)
    academic.oup.com/cid/advance-article/doi/10.1093/cid/ciae105/7614681
    31:07 *Cytokine storm*
    31:56 *Long CoViD*
    how COVID-19 affects cognitive function and the effect of long COVID and
    how healthcare works have difficulty making the proper diagnosis for long COVID even using a questionnaire.
    45:48 Please donate
    46:03 *Dr D answers your Qs*
    46:09 Laurie
    47:41 Anna
    48:55 office hours - Measle questions / durability of MMR vaccine
    50:18 Lori
    51:11 Tom
    see www.microbe.tv/twiv/twiv-1094-letters/
    _Audio podcast timestamps by Jolene. Thanks._

    • @heathers4449
      @heathers4449 9 หลายเดือนก่อน +4

      Thank you for taking the time to do this week after week ❤

    • @lesfaby8997
      @lesfaby8997 9 หลายเดือนก่อน +1

      @@heathers4449 you are very welcome.

    • @LisaMartinez-ri6ve
      @LisaMartinez-ri6ve 9 หลายเดือนก่อน +2

      Thanks to Jolene and Les

  • @Kate-sp1vx6vz9z
    @Kate-sp1vx6vz9z 9 หลายเดือนก่อน +16

    Sadly, the people who *most* need Daniel's excellent explanations of guidelines are not listening to this podcast. 😢

  • @DudeFun-yi7nu
    @DudeFun-yi7nu 9 หลายเดือนก่อน +12

    It must be Saturday morning with Clinical Update at TWiV ... thanks guys

    • @4everyoung24
      @4everyoung24 9 หลายเดือนก่อน +1

      I used to have to see patients early on Saturday mornings and would listen to the first 10 minutes on the way to the hospital as incentive to go get all the patients seen. Then as my reward I’d get biscuits and gravy in the hospital cafeteria and listen to the rest. I no longer have to round on Saturdays but Clinical Update is still a solid part of my Saturday mornings.
      Thanks, Drs!

  • @WillNewcomb
    @WillNewcomb 9 หลายเดือนก่อน +19

    CDC guidance: my take, if people can misinterpret guidance, THEY WILL.

    • @Ramiiam
      @Ramiiam 9 หลายเดือนก่อน

      People aren't buying the COVID booster guidance anymore. They believe their lying eyes.

  • @jact8350
    @jact8350 9 หลายเดือนก่อน +3

    Thanks. Love listening to updates. I am a non healthcare worker, but appreciate the info and was able to get my family on paxlovid early even when PCM said they were not a canidate (2022). Dr. Griffin you are a gem

  • @emilythechef
    @emilythechef 9 หลายเดือนก่อน +9

    I love Friday night updates. Thanks for your dedication!

  • @annh.8290
    @annh.8290 9 หลายเดือนก่อน +4

    Sadly, the major problem in the USA is most work places people just do not have "Sick days", I worked as a nurse for years, and we only had 3 days sick pay, after that they took away from our vacation days, that might be ok, if one still had those vacation days left. Interestingly, we moved to Europe, and when my husband got sick on vacation, HR told him to send in the days he was sick, and they would give him back those days of vacation, as she put it "you were sick, not relaxing on vacation"!

    • @bcase5328
      @bcase5328 9 หลายเดือนก่อน

      The guidance is for all illness, not solely covid.

  • @WillNewcomb
    @WillNewcomb 9 หลายเดือนก่อน +10

    Good morning. It's day 2 of C19 +ve and feeling a bit rough but I didn't want to m miss daniels update!

    • @AzIbra16
      @AzIbra16 9 หลายเดือนก่อน +3

      Get well Will

    • @WillNewcomb
      @WillNewcomb 9 หลายเดือนก่อน

      @@AzIbra16 Thank you! Blessings!

    • @heathers4449
      @heathers4449 9 หลายเดือนก่อน +1

      Feel better soon! ❤

    • @WillNewcomb
      @WillNewcomb 9 หลายเดือนก่อน

      @@heathers4449 Thank you!!!

    • @doreeno3792
      @doreeno3792 9 หลายเดือนก่อน +1

      Feel better Will. Your spirit sounds strong!

  • @petragris1947
    @petragris1947 9 หลายเดือนก่อน +1

    CDC recommendations do not take asymptomatic infection (~40%?) into account. With this guidance, people with asymptomatic infection are free to transmit to others. And people whose immune response has been damaged by prior SARS2 infection(s) may not have acute illness with new infection that rises to the level of notice. Also, nobody but nobody is wearing a mask, not even in healthcare. CDC needs to hit the cardio/neuro/immuno consequences of repeated covid infection. People are just not aware.

  • @bcase5328
    @bcase5328 9 หลายเดือนก่อน +2

    A mask also helps filter out pollen, so help people with pollen allergies.

  • @sampal5352
    @sampal5352 9 หลายเดือนก่อน +2

    Shouldn’t it be about protecting as many people as possible, not ‘satisfying’ everyone? For a virus that is still a complicated, significant threat.

  • @bullymaguire632
    @bullymaguire632 9 หลายเดือนก่อน +4

    Why couldn't they just say N95 instead of a "well-fitting mask", it's clear the other masks don't work

  • @Tabitha_K
    @Tabitha_K 9 หลายเดือนก่อน +4

    Daniel is the first American person I’ve ever heard pronounce respir-at-ory correctly! Most people say ‘respitory’.
    I’m British.

  • @WillNewcomb
    @WillNewcomb 9 หลายเดือนก่อน +1

    Q: no viral shedding after 10 days. That would be a usual recommendation, but as we know, health science is never that precise. There will be a range of times. Everyone is different; some shorter, some longer. Can we state what those ranges are?

  • @WillNewcomb
    @WillNewcomb 9 หลายเดือนก่อน +5

    Thank you!

  • @ccbowers
    @ccbowers 9 หลายเดือนก่อน +1

    30:50 Latching onto the cardiologist use of "not indicated" misses the actual question. Whether or not to use Paxlovid here depends on opposing risks of holding her antiplatelet due to the DDI vs not receiving the antiviral for COVID. "Chances are she will be fine" either way, until she is not. The idea that the ticagrelor can just be dose reduced is misguided, because the interaction is significant and bleeding is the concern.

  • @Deeppowbro
    @Deeppowbro 9 หลายเดือนก่อน +5

    Saving the world one podcast at a time

  • @HS-1828
    @HS-1828 9 หลายเดือนก่อน +3

    Me thinks Vincent finds the CDC’s guidelines laughable. Nobody is taking precautions.

  • @4everyoung24
    @4everyoung24 9 หลายเดือนก่อน +3

    I’m from Texas and we say res-PIIIIIIIIRrruh-tory.

  • @traianliviudanciu8665
    @traianliviudanciu8665 9 หลายเดือนก่อน +3

    At TWiV 659 Christian Drosten suggest that SARS COV2 better replicate at very low tissue temperature.
    May be If SARS COV2 infection occur must avoid to decrease fever using Tylenol.(even If headache and muscle pain occur)
    And may be mask wearing not only stop droplets, but also maintain higher mucouseal respiratory temperature.

  • @charlieintampa6769
    @charlieintampa6769 9 หลายเดือนก่อน

    You are way ahead of me on African countries (I've only been to 3), but I have about 60 some countries and every state at least twice. Even my 16 years old daughter has been to every state :)

  • @elizabethmicallef6019
    @elizabethmicallef6019 9 หลายเดือนก่อน

    Love Saturdays w Dr Daniel!❤

  • @markgivens3225
    @markgivens3225 9 หลายเดือนก่อน

    Would be interested in a ‘measles only’ vaccine. Is one available and approved in the US? How commonly available and what do we need to request?

  • @donnamunro2090
    @donnamunro2090 9 หลายเดือนก่อน +2

    ./eyeroll - Why are people using IQ as a measurement anymore?

  • @Invitational2
    @Invitational2 9 หลายเดือนก่อน

    24:25 they derived this number by comparing those with 7 jabs to those with 8 and concluded 8 had a little better outcome than those with 7. But why not compare those who never took any jabs with those who were octuply jabbed?

    • @alowry2002
      @alowry2002 9 หลายเดือนก่อน +2

      Because the purpose is to see the effectiveness of an updated vaccine. So no need to include the unvaccinated. There are lots of studies comparing unvaccinated vs 💉💉.

    • @graysonric
      @graysonric 9 หลายเดือนก่อน

      217 jabs are optimum.

    • @alowry2002
      @alowry2002 9 หลายเดือนก่อน

      @@graysonric only in Germany. 🇩🇪

  • @traianliviudanciu8665
    @traianliviudanciu8665 9 หลายเดือนก่อน +1

    Did we avoid to decrease lung temperature, If cryoglobuline like antibody occur after SARS COV2 infection ?

  • @Invitational2
    @Invitational2 9 หลายเดือนก่อน

    35:01 so does this graph show that ivermectin does indeed work?

    • @gribbler1695
      @gribbler1695 9 หลายเดือนก่อน +2

      Despite a small benefit in symptom duration, there was no evidence that ivermectin reduced the need for hospital admission.

  • @razerginn
    @razerginn 9 หลายเดือนก่อน +1

    Too funny Respiratory.. I say Toe- may-toe for tamato!😂

  • @JoonaDanielTuhkanen
    @JoonaDanielTuhkanen 9 หลายเดือนก่อน

    Nii ei oo mukava juttu eikö nuilla alimittasilla tulfhdusarvoilla ja huippupaineilla on merkitystä

  • @wednesdayschild3627
    @wednesdayschild3627 9 หลายเดือนก่อน +2

    Truth is conformity to reality. Example, it is raining and you put on your coat and boots. Denial is you preten it is sunny and go outside and get wet.

  • @janem3575
    @janem3575 9 หลายเดือนก่อน

    my friend got covid in early December 2023. very mild and brief course. she has taste and smell deficits, still. can only detect sweet and salty and spicy

  • @Invitational2
    @Invitational2 9 หลายเดือนก่อน

    What is this graph saying about ivermectin amongst vaccinated vs unvaccinated at the bottom? 35:06

  • @Rene-uz3eb
    @Rene-uz3eb 9 หลายเดือนก่อน

    I'm starting to think that suppression of P450 enzymes is a reason for the effectiveness of some antivirals in severe cases, not just a side effect. P450 are heme dependent, and can make quite a mess if damaged.

  • @Invitational2
    @Invitational2 9 หลายเดือนก่อน +1

    35:25 further study unwarranted in vaccinated community? What about the unvaccinated counterpart? Are they saying further studies should be done for this population?

  • @littlejoe8359
    @littlejoe8359 9 หลายเดือนก่อน +1

    What is truth ?

    • @wednesdayschild3627
      @wednesdayschild3627 9 หลายเดือนก่อน +2

      Conformity to reality. Example, it is snowing, you put on a coat and boots so you will not get wet. Denial is you pretend it is sunny, you go out and get soaked.

    • @4everyoung24
      @4everyoung24 9 หลายเดือนก่อน +2

      @@wednesdayschild3627
      Or worse-send your child out without a coat and they get all wet and cold and miserable.

    • @graysonric
      @graysonric 9 หลายเดือนก่อน

      Asked Pontius Pilate sarcastically. John 18:38

  • @Invitational2
    @Invitational2 9 หลายเดือนก่อน

    38:38 excellent point. Nice brain gymnastics . Sounds like a study to cover up the vaxx induced brain fog.

    • @Invitational2
      @Invitational2 9 หลายเดือนก่อน

      @suekoi3885 the vaxxed got Covid too.

  • @traianliviudanciu8665
    @traianliviudanciu8665 9 หลายเดือนก่อน

    Did fever increase interferon action ?

  • @ccbowers
    @ccbowers 9 หลายเดือนก่อน

    30:14 Love it. Even antiplatelets get antiviral names on TWIV.

  • @traianliviudanciu8665
    @traianliviudanciu8665 9 หลายเดือนก่อน

    Did interferon induce high fever ?

  • @donnamunro2090
    @donnamunro2090 9 หลายเดือนก่อน

    UmbiLAYcus, crawfish pie, file gumbo

  • @juliesharp5077
    @juliesharp5077 9 หลายเดือนก่อน

    *Columbia

  • @jennycatlike
    @jennycatlike 9 หลายเดือนก่อน +2

    your bow tie is another reminder for reasons to not eat animals

    • @amiesparkle00
      @amiesparkle00 9 หลายเดือนก่อน +7

      Prions can also be in soil and crops.

    • @Henry-fk7cq
      @Henry-fk7cq 9 หลายเดือนก่อน

      Plant based foods like sugar, rice, potatoes, grains, some fruits & pasta are driving the metabolic pandemic. Meat, fish, fat & green vegetables are not. Humans are omnivores. Plant based foods are low in certain nutrients & prmote serious diseases.

  • @pdxyadayada
    @pdxyadayada 9 หลายเดือนก่อน

    Why can’t you provide more nuance to your analyses? For example, within what population of individuals does normal exposure to viruses allow for natural immunity to be developed? Also, how might you differentiate which populations (age and health variables) are most at risk of severe outcomes to seasonal virus exposures? And, what explains differences in vaccination protocols between the US and the UK?

    • @graysonric
      @graysonric 9 หลายเดือนก่อน

      The time difference.

  • @traianliviudanciu8665
    @traianliviudanciu8665 9 หลายเดือนก่อน

    Not only interferon induce fever.

  • @TheJamjewel
    @TheJamjewel 9 หลายเดือนก่อน

    💔

  • @juliesharp5077
    @juliesharp5077 9 หลายเดือนก่อน +2

    Just realised Vincent R. also works at Columbia. That totally explains your channel's pro vax stance.

    • @wednesdayschild3627
      @wednesdayschild3627 9 หลายเดือนก่อน +4

      What does the data say? See video.. we do not know yet if the new booster over 65 helped.

    • @juliesharp5077
      @juliesharp5077 9 หลายเดือนก่อน

      ​@@wednesdayschild3627removed my other comments I see. Don't you want people to know Columbia University received ten million dollar 3 year grant from Pfizer?

    • @graysonric
      @graysonric 9 หลายเดือนก่อน

      My 97yo father got Covid, probably JN.1, on February 26, exactly four months after he took the 2023-24 booster and I think it helped him. It was his first case and he had mild symptoms and was fever-free without an antipyretic in three days. I stayed in his room every night (on the floor) because I was worried he might need help, but he was okay and I- also frequently boosted; with one prior mild case of Covid, had a a sore throat for two days but never ran fever or tested positive. (I am 73.) Dad would not take the Paxlovid because he thought the side effects would be worse than his mild symptoms. He said if he got sicker on the third or fourth day, he would take it, but by then he felt “over it.”

    • @juliesharp5077
      @juliesharp5077 9 หลายเดือนก่อน

      My point was these people work at a university which has received an huge amount of money from Pfizer. Therefore they have a vested interest in telling everybody to get the Vax.

    • @juliesharp5077
      @juliesharp5077 9 หลายเดือนก่อน

      ​@@graysonricyour father is 97, This channel is still promoting the Vax to people that don't need it especially children.

  • @TheJamjewel
    @TheJamjewel 9 หลายเดือนก่อน

    Sigh