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re: MD Giving Vaccine

Posted on 8/7/21 at 9:54 pm to
Posted by Giantr63
Member since Mar 2019
32 posts
Posted on 8/7/21 at 9:54 pm to
I have contacted 20 + MD offices on behalf of my older brother with health issues that wants the shot. None that I have contacted offer the vaccine. Due to the fact that it is very important that mRNA vaccine is in intramuscular site and not in vein, we did not want a dam Walgreen tech to administer the shot. Thank you for the informative response by some and the other a******** can f****FF.
Posted by novabill
Crossville, TN
Member since Sep 2005
10454 posts
Posted on 8/7/21 at 9:58 pm to
quote:

Lolz. The antibody treatments everybody begs for once their oxygen levels start tanking aren’t FDA approved either.


One of these people want and encounter resistance because not FDA approved for that ailment, the other is being pushed by everyone on the left even though it has zero track record and is killing people. Oh the one killing people is making big pharma billions (I wonder if any of that money makes it political coffers), while the other is very cheap.

Posted by TBoy
Kalamazoo
Member since Dec 2007
23818 posts
Posted on 8/7/21 at 10:05 pm to
quote:

I have contacted 20 + MD offices on behalf of my older brother with health issues that wants the shot. None that I have contacted offer the vaccine.

If you or your brother can’t find a vaccine in America right now, you must be profoundly disabled. You could have walked into any pharmacy today and gotten a shot with no appointment or wait time.
Posted by Giantr63
Member since Mar 2019
32 posts
Posted on 8/7/21 at 10:09 pm to
You are correct but a tech in a pharmacy is not trained to administer this shot. Do your research on this shot if it is not properly administered correctly.
Posted by geauxbrown
Louisiana
Member since Oct 2006
19565 posts
Posted on 8/7/21 at 10:17 pm to
My Doctor and his staff do it every Wednesday.
Posted by TBoy
Kalamazoo
Member since Dec 2007
23818 posts
Posted on 8/7/21 at 10:18 pm to
You do your own fake research. Pharmacies administer shots every day.
Posted by OldCat55
Member since Apr 2021
645 posts
Posted on 8/7/21 at 10:19 pm to
quote:

Cold storage and shelf life are your answers here.


Cold storage is not an issue. Standard refrigerator freezers are acceptable for all 3 brands. Pfizer originally needed low temp freezers that would rule out private MD offices and privately owned pharmacies.

Shelf life might have an impact.

I personally believe it is because of the way the vaccines were rolled out in Louisiana. Large facilities with sub zero capabilities received Pfizer and smaller hospitals and pharmacies received Moderna. By the time vaccines were plentiful enough to distribute to private MD offices, the distribution network had already been established. Our local MDs refer vaccine patients to the local pharmacies.
Posted by DotBling
Member since Oct 2019
3004 posts
Posted on 8/7/21 at 10:20 pm to
quote:

The antibody treatments everybody begs for once their oxygen levels start tanking aren’t FDA approved either.


BullfrickingShit. Not only are they FDA approved, they are FDA approved for use after just an exposure without even having a positive test yet.
Posted by geauxskeet
Member since Oct 2009
529 posts
Posted on 8/7/21 at 10:36 pm to
That was the case in the beginning but no longer. Once unfrozen they are reportedly good for up to a month.

Nope, good for 12 hrs after vial is opened.
Posted by shell01
Marianna, FL
Member since Jul 2014
793 posts
Posted on 8/8/21 at 5:34 am to
quote:

BullfrickingShit. Not only are they FDA approved, they are FDA approved for use after just an exposure without even having a positive test yet.


Wrong.
There are no FDA approved SARS-CoV-2 MABs. They are authorized for use under EUA, just like the vaccines. And only one is authorized for post-exposure prophylaxis (REGEN-COV)

FDA EUA Therapeutics

Posted by NC_Tigah
Carolinas
Member since Sep 2003
124183 posts
Posted on 8/8/21 at 5:41 am to
quote:

Can someone give me the answer as to why you cannot get Covid vaccine from MD office.
You can. Some may not have it stocked though.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124183 posts
Posted on 8/8/21 at 5:53 am to
quote:

You do your own fake research.
He is correct regarding intravenous injection. That is a possible explanation for rare cases of apparent somatic spread of vaccine rather than intramuscular sequester.
Posted by Hopeful Doc
Member since Sep 2010
14990 posts
Posted on 8/8/21 at 8:30 am to
quote:

Can someone give me the answer as to why you cannot get Covid vaccine from MD office



I’m an independent office not associated with a hospital or larger group. When the vaccine first rolled out, it was released to hospitals and public health centers for a few reasons. One was storage, the other was manpower.

I believe this is true of both Pfizer and moderna. This is from memory, so exact details could be called by anyone who is more recently read-up on the process, but the vials required reconstitution, and once they were reconstituted they had an 8 hour window of time before they had to be discarded. The vials contained enough solution for 5 or 6 vaccines (yes- sometimes they got 5, sometimes they got 6. This was common among several systems from what I have been told in meetings about it. Now, what the efficacy of 5 vs 6-dose vials were would be a fun story to learn about. But we still haven’t seen enough vaccinated individuals get symptoms severe enough to test to warrant concern. Looks like it is probably eventually going to be coming, but it hasn’t made it my way just yet).
So you needed the ability to have 5-6 person “groups” scheduled and showing up on a regular basis with someone to administer the shot, upload the data to LINKS, monitor for symptoms, etc.


My office, and pretty much any independent office does not have the resources to schedule people in groups, ensure they show up, have a backup for if they don’t, and a nurse to dole out vaccine (as doing it in bundles like this would almost take a full-time nurse to do anything more than about 2 vials).

Because of this, it is much better suited for hospitals who have much bigger budgets + COVID funds and the ability to pull/move nurses, particularly the capable/licensed nurses in administrative roles, over to an empty space already owned by them to deliver much bigger volumes with much less waste. Wasting even a dose early on was a huge deal and heavily frowned upon, and the hospital I had privileges at and sat on some committees about this matter did an excellent job.

Meanwhile, my clinic the last few weeks has been November-January busy in terms of volume. Even with a very sharp uptick in prevalence of COVID in my area and hospital, I wouldn’t want to read through the documentation required to participate in an EUA effort when it’s being done better by the hospital and the big chains.

Vaccines are not and have never been a big money-generator for my office. I do think this one is important, and it would be important enough for me to break even or slightly lose on from a public health perspective. But the logistics of the multi-dose vials make it unwieldy, and I couldn’t compete if I wanted to, short of shutting my office down to JUST give this. And based on my population, where most of my high-risk patients have already been vaccinated, I don’t have a huge need for another site in town, so I have the talk with patients and get them to one of the handful of places in town that offer it.


This is true of some other vaccines, too. We don’t give the one for shingles, and the PPSV-23 also gets a script to CVS/Walgreens due to how expensive they are and how much eating the cost of the vaccine (they can cost me $200-300 with a reimbursement basically covering the cost + a $10-20 “administration” fee), so a dose that isn’t given or expires can ruin the profit of an entire case, and I can admit that the pharmacies do a better job of stock vs need. So it isn’t ENTIRELY unique to the COVID vaccines , and it isn’t purely tied to finances either.



ETA- above suggests you can get it at some MD offices. My experience isn’t meant to represent all independent offices but just to give an idea of what some may think of it. There are both individual and system-owned offices that give it. We didn’t participate as above.
This post was edited on 8/8/21 at 8:32 am
Posted by the808bass
The Lou
Member since Oct 2012
111607 posts
Posted on 8/8/21 at 8:33 am to
quote:

Vaccines are controlled and administered by the government at this point. No private doctors have them.


Huh?
Posted by droc504
Member since Nov 2018
10 posts
Posted on 8/8/21 at 8:35 am to
The mRNA Vaccine requires temperature storage most medical practices don’t have This is why you go to a pharmacy or hospital for the vaccine
Posted by Diamondawg
Mississippi
Member since Oct 2006
32348 posts
Posted on 8/8/21 at 8:43 am to
Pfizer requires like a minus 80 degree Fahrenheit freezer
Posted by OldCat55
Member since Apr 2021
645 posts
Posted on 8/8/21 at 10:03 am to
quote:

Posted by droc504 on 8/8/21 at 8:35 am to 14&Counting The mRNA Vaccine requires temperature storage most medical practices don’t have This is why you go to a pharmacy or hospital for the vaccine ReplyOptionsTop up vote0down vote0 Posted by Diamondawg online on 8/8/21 at 8:43 am to Giantr63 Pfizer requires like a minus 80 degree Fahrenheit freezer


Temperature requirements are currently not a factor. They were initially for Pfizer ONLY.

Pfizer, Moderna, and J&J can be AND ARE stored safely in the freezer of a standard household refrigerator.

My wife owns a pharmacy. She is a practicing pharmacist (no pics). She stores and administers all 3 vaccines. The La Dept of Health knows our freezer status.

We received Moderna on Jan 5th and began vaccinations on Jan 6th. Moderna never had a super low temp requirement.

Later, we received J&J. It also did not have the low temp requirement.

Lastly, we received Pfizer after the low temp requirements were changed to standard temp freezers.

Every MD office has a place for workers to store food. This is sufficient for Covid vaccine storage.
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