1 00:00:01,320 --> 00:00:07,120 Speaker 1: It's Nightside with Dan Ray on WVS Boston's news radio. 2 00:00:07,920 --> 00:00:11,480 Speaker 2: Well, of course, the weather has turned a little bit 3 00:00:12,240 --> 00:00:14,840 Speaker 2: on the chili side, although I guess some warm weather 4 00:00:14,960 --> 00:00:18,479 Speaker 2: is expected in the next week or so, and you 5 00:00:18,520 --> 00:00:20,600 Speaker 2: could feel a nip in the air the last couple 6 00:00:20,600 --> 00:00:21,000 Speaker 2: of days. 7 00:00:21,000 --> 00:00:21,960 Speaker 3: We are in October. 8 00:00:22,000 --> 00:00:26,320 Speaker 2: It's October second, and of course that I think should 9 00:00:26,360 --> 00:00:30,040 Speaker 2: remind all of us that with winter approaching, the cold 10 00:00:30,080 --> 00:00:32,519 Speaker 2: and flu season is approaching. And earlier this week we 11 00:00:32,600 --> 00:00:36,080 Speaker 2: had with us one of my favorite guests, doctor Shirah Drone, 12 00:00:36,840 --> 00:00:40,879 Speaker 2: who is an infectious disease she's the Chief Infection Control 13 00:00:40,960 --> 00:00:46,360 Speaker 2: Officer tough Medicine. She is a hospital epidemiologist at Tough's 14 00:00:46,360 --> 00:00:49,479 Speaker 2: Medical Center, and she's also a professor of medicine at 15 00:00:49,520 --> 00:00:53,000 Speaker 2: Toughs University School of Medicine. And I want to welcome 16 00:00:53,320 --> 00:00:55,960 Speaker 2: doctor Darome back to Nightside. Welcome back, doctor, how are 17 00:00:56,000 --> 00:00:57,600 Speaker 2: you good? 18 00:00:57,720 --> 00:00:59,360 Speaker 4: Thank you so much for having me well. 19 00:00:59,360 --> 00:01:02,560 Speaker 2: When we would check earlier this week, I was a 20 00:01:02,600 --> 00:01:08,160 Speaker 2: little concerned that I was raising more questions than you 21 00:01:08,200 --> 00:01:10,959 Speaker 2: could answer. And I also thought that this is the 22 00:01:10,959 --> 00:01:14,600 Speaker 2: perfect time of year to give my listeners an opportunity 23 00:01:14,640 --> 00:01:18,840 Speaker 2: to talk to you and ask you about what they 24 00:01:18,959 --> 00:01:22,880 Speaker 2: should or should not be doing this winter as we 25 00:01:22,920 --> 00:01:26,800 Speaker 2: get ready for the cold and flu season. And you know, 26 00:01:27,240 --> 00:01:30,120 Speaker 2: there's so many pitfalls that all of us are going 27 00:01:30,160 --> 00:01:33,160 Speaker 2: to be facing just the regular flu. I want to 28 00:01:33,200 --> 00:01:36,360 Speaker 2: talk about that, I want to talk about IRSV, certainly 29 00:01:36,360 --> 00:01:38,800 Speaker 2: want to talk about COVID, And at the same time, 30 00:01:38,880 --> 00:01:41,240 Speaker 2: I want to give people an opportunity to call in 31 00:01:41,280 --> 00:01:46,520 Speaker 2: and describe this set of circumstances, meaning their age and 32 00:01:47,000 --> 00:01:50,920 Speaker 2: what medical circumstances. They don't have to tell us everything, 33 00:01:50,960 --> 00:01:54,960 Speaker 2: but if just so, they need to be made aware 34 00:01:55,200 --> 00:01:58,960 Speaker 2: of what is available and what they should take advantage of. 35 00:01:59,160 --> 00:02:01,840 Speaker 2: So we just start off for the fun of it here, 36 00:02:01,880 --> 00:02:05,000 Speaker 2: and we don't prep questions here, and I did you 37 00:02:05,080 --> 00:02:07,320 Speaker 2: were I'd never asked you to send me a whole 38 00:02:07,320 --> 00:02:10,400 Speaker 2: bunch of questions. So I'm just going to sort of 39 00:02:10,440 --> 00:02:12,520 Speaker 2: take the place of some of the listeners, and I 40 00:02:12,520 --> 00:02:15,359 Speaker 2: hope that those who have feeled they had better questions 41 00:02:16,000 --> 00:02:17,680 Speaker 2: will will join the conversation. 42 00:02:18,200 --> 00:02:19,520 Speaker 3: Let's start off with COVID. 43 00:02:19,880 --> 00:02:22,799 Speaker 2: What are we You know, we've always been able to 44 00:02:22,880 --> 00:02:26,200 Speaker 2: kind of predict what sort of a flu season it's. 45 00:02:26,080 --> 00:02:26,400 Speaker 3: Going to be. 46 00:02:26,440 --> 00:02:29,000 Speaker 2: Maybe we'll start with flu because what happens in the 47 00:02:29,040 --> 00:02:32,720 Speaker 2: Southern hemisphere when it's winter for them in the summertime, 48 00:02:33,400 --> 00:02:36,160 Speaker 2: if my memory serves, doesn't that give us some guidance 49 00:02:36,160 --> 00:02:39,440 Speaker 2: as to what might happen in the Northern hemisphere during 50 00:02:39,480 --> 00:02:40,000 Speaker 2: our winter. 51 00:02:41,440 --> 00:02:44,880 Speaker 4: Yeah, that's right. We can use what we're seeing in 52 00:02:44,919 --> 00:02:51,040 Speaker 4: the Southern hemisphere during our summer there winter. Sometimes. You know, 53 00:02:51,080 --> 00:02:53,720 Speaker 4: we can always be thrown per loop because the virus, 54 00:02:53,760 --> 00:02:57,160 Speaker 4: the flu virus mutakes very quickly. But we can use 55 00:02:57,200 --> 00:03:00,360 Speaker 4: that as a as a predictor of sort to try 56 00:03:00,400 --> 00:03:03,760 Speaker 4: to determine whether we're going to have a bad flu season. 57 00:03:04,240 --> 00:03:07,600 Speaker 4: And we did have a really bad flu season last year. 58 00:03:08,639 --> 00:03:13,840 Speaker 4: I haven't heard that the Southern hemisphere got particularly wall 59 00:03:13,960 --> 00:03:18,120 Speaker 4: up to this past winter. So let's cross our fingers 60 00:03:18,120 --> 00:03:20,200 Speaker 4: and hope that this will be a better one for flu. 61 00:03:20,600 --> 00:03:26,160 Speaker 2: Why is there that relationship obviously with air travel and 62 00:03:26,240 --> 00:03:29,520 Speaker 2: a lot of people you know, go to each we 63 00:03:29,560 --> 00:03:32,440 Speaker 2: fly around the world. I get that, But why is 64 00:03:32,480 --> 00:03:36,280 Speaker 2: it that this seems to be such a predictive value 65 00:03:36,520 --> 00:03:41,360 Speaker 2: in what happens in the Southern hemisphere that's likely coming 66 00:03:41,440 --> 00:03:44,520 Speaker 2: our way. I know it doesn't always work, okay, But 67 00:03:45,520 --> 00:03:49,480 Speaker 2: what causes that is it simply the interchange of modern 68 00:03:49,520 --> 00:03:50,080 Speaker 2: day travel. 69 00:03:51,520 --> 00:03:55,000 Speaker 4: You know, you're right, people are traveling all the time, 70 00:03:55,080 --> 00:03:58,000 Speaker 4: all year long. So why is it that we just 71 00:03:58,080 --> 00:04:01,760 Speaker 4: don't have the flu everywhere all at once. It's a 72 00:04:01,880 --> 00:04:06,040 Speaker 4: very good question. It is something about the winter, and 73 00:04:06,120 --> 00:04:08,840 Speaker 4: I think, right, so it's it's we have flu during 74 00:04:08,880 --> 00:04:11,800 Speaker 4: our winter and they have flu during their winter. But 75 00:04:12,520 --> 00:04:17,360 Speaker 4: it is probably not as simple as temperature, because there's 76 00:04:17,360 --> 00:04:21,160 Speaker 4: still a flu season in the southern northern hemisphere, right, 77 00:04:21,200 --> 00:04:23,400 Speaker 4: I mean, Florida still has a flu season, and it's 78 00:04:23,440 --> 00:04:27,680 Speaker 4: warm all year and it may so it's it's temperature, 79 00:04:27,680 --> 00:04:31,560 Speaker 4: but not only temperature. It's maybe people spending more time inside. 80 00:04:31,680 --> 00:04:35,000 Speaker 4: But again Florida, people spend time outside in the winter, 81 00:04:35,520 --> 00:04:42,640 Speaker 4: so it's it's actually not well understood after all these centuries. 82 00:04:43,320 --> 00:04:47,680 Speaker 2: Intrianza, you said that last winter was a tough flu season. 83 00:04:48,040 --> 00:04:50,120 Speaker 2: I remember a little after Christmas, I. 84 00:04:50,160 --> 00:04:53,440 Speaker 3: Was dealing with a heck of a weeze in my. 85 00:04:53,560 --> 00:04:57,919 Speaker 2: Chest and discomfort, and I actually went and got a 86 00:04:58,000 --> 00:05:01,960 Speaker 2: chest X ray at the advice of my doctor. I 87 00:05:02,000 --> 00:05:04,599 Speaker 2: don't think that they ever diagnosed what I had, but 88 00:05:04,680 --> 00:05:07,800 Speaker 2: I was testing myself for COVID, which was coming back negative. 89 00:05:08,279 --> 00:05:12,760 Speaker 2: But I felt miserable. Was I simply dealing with what 90 00:05:12,920 --> 00:05:14,800 Speaker 2: was the flu season last year? 91 00:05:16,400 --> 00:05:16,640 Speaker 5: Yeah? 92 00:05:16,839 --> 00:05:21,640 Speaker 4: I mean was your test X right consistent with pneumonia? 93 00:05:21,760 --> 00:05:22,000 Speaker 3: No? 94 00:05:22,000 --> 00:05:23,960 Speaker 2: No, no, they checked me for that and there was 95 00:05:24,000 --> 00:05:24,600 Speaker 2: no pneumonia. 96 00:05:24,720 --> 00:05:26,000 Speaker 5: Yeah, but right. 97 00:05:26,200 --> 00:05:29,279 Speaker 4: So, you know, one of the hard things is we 98 00:05:30,360 --> 00:05:34,320 Speaker 4: can't tell by looking at you what respiratory virus you have. 99 00:05:34,400 --> 00:05:36,680 Speaker 4: I mean, there are a few hints here and there. 100 00:05:36,880 --> 00:05:41,480 Speaker 4: Wheezing can sometimes be more of a sign of RSD infection. 101 00:05:43,640 --> 00:05:46,320 Speaker 4: Flu typically hits you like a ton of bricks from 102 00:05:46,360 --> 00:05:48,800 Speaker 4: out of the blues, So there are some clues, but 103 00:05:48,920 --> 00:05:51,719 Speaker 4: without testing, you don't know. And generally you don't have 104 00:05:52,000 --> 00:05:54,960 Speaker 4: to do a test for these viruses. We got so 105 00:05:55,680 --> 00:05:59,800 Speaker 4: used to COVID tests tested the slightest sign of illness, 106 00:06:00,360 --> 00:06:02,400 Speaker 4: and that was because we were doing contact chasing and 107 00:06:02,440 --> 00:06:05,800 Speaker 4: isolation and quarantine. Now that we're not doing those things, 108 00:06:06,120 --> 00:06:09,520 Speaker 4: testing is not as important unless you're someone who's at 109 00:06:09,600 --> 00:06:12,320 Speaker 4: high risk for progressing to severe disease. And then you 110 00:06:12,360 --> 00:06:13,839 Speaker 4: want to know if you have COVID because we have 111 00:06:13,880 --> 00:06:16,200 Speaker 4: a good treatment. You want to know if you have 112 00:06:16,279 --> 00:06:19,640 Speaker 4: flu because we have an okay treatment. And other than that, 113 00:06:19,680 --> 00:06:22,400 Speaker 4: you really, we really don't have treatments for most things, 114 00:06:22,480 --> 00:06:24,520 Speaker 4: and so you really don't need to test because you 115 00:06:24,560 --> 00:06:25,120 Speaker 4: don't need to know. 116 00:06:25,440 --> 00:06:28,960 Speaker 3: Yeah, I had, I had a good real I could. 117 00:06:29,120 --> 00:06:32,279 Speaker 2: It almost felt, uh when I was when I was 118 00:06:32,320 --> 00:06:34,440 Speaker 2: in bed, and you know, it kind of rolled over. 119 00:06:35,680 --> 00:06:38,200 Speaker 2: It sounds weird, but I almost felt like there was 120 00:06:38,279 --> 00:06:41,159 Speaker 2: someone with a voice inside of me. It's the wheels 121 00:06:41,320 --> 00:06:44,520 Speaker 2: was so deep. It was almost like someone else's voice. 122 00:06:44,560 --> 00:06:46,840 Speaker 2: I know. It wasn't, don't get me wrong, and they 123 00:06:46,839 --> 00:06:49,760 Speaker 2: were it was they were words associated with it, but 124 00:06:49,920 --> 00:06:52,520 Speaker 2: it was I was talking to you. 125 00:06:52,720 --> 00:06:57,880 Speaker 3: Yeah, exactly. You think you think it was r SV 126 00:06:58,120 --> 00:07:00,159 Speaker 3: if again it's cast and. 127 00:07:01,200 --> 00:07:05,680 Speaker 4: Yeah, and that's you know, December is appropriate timing for that. 128 00:07:06,920 --> 00:07:08,320 Speaker 3: So and is that past? 129 00:07:08,720 --> 00:07:12,320 Speaker 2: Is that past orally meaning someone coughed where you were 130 00:07:12,640 --> 00:07:16,960 Speaker 2: and they and therefore and you breathed it in. Whether 131 00:07:17,000 --> 00:07:19,280 Speaker 2: it was at the store or at work or something 132 00:07:19,360 --> 00:07:22,720 Speaker 2: like that, it just happened. You contracted it just like that. 133 00:07:23,360 --> 00:07:27,560 Speaker 4: Yes, exactly, drop it transmission. Somebody cough, you baked it in. 134 00:07:27,840 --> 00:07:30,840 Speaker 4: Maybe you touched something and touched your mouth or nose. 135 00:07:31,680 --> 00:07:34,240 Speaker 4: You know, it's for the most part, that's how those 136 00:07:34,240 --> 00:07:36,200 Speaker 4: respiratory viruses are all transmitted. 137 00:07:36,440 --> 00:07:40,640 Speaker 2: Okay, my guest is doctor Shira d'erne. She is associated 138 00:07:40,680 --> 00:07:44,760 Speaker 2: with Tough's Medical Center. She's also associated with Tough University 139 00:07:44,800 --> 00:07:47,760 Speaker 2: School of Medicine. So we kind of hit on RS there. 140 00:07:47,840 --> 00:07:50,080 Speaker 2: I want to come back and talk about COVID. We'll 141 00:07:50,120 --> 00:07:54,080 Speaker 2: talk about the flu. We'll incorporate callers as we go along, 142 00:07:54,320 --> 00:07:57,400 Speaker 2: and I really appreciate you taking the time tonight because 143 00:07:57,440 --> 00:08:02,920 Speaker 2: I'm hoping that this will get people, uh intent, they'll 144 00:08:03,000 --> 00:08:06,280 Speaker 2: focus more. This is a time of year when we 145 00:08:06,440 --> 00:08:08,720 Speaker 2: still are outside, but this is the time of year 146 00:08:08,760 --> 00:08:11,080 Speaker 2: where you need to get your shot. I've taken my 147 00:08:11,160 --> 00:08:14,400 Speaker 2: flu shot already, high dose because I'm over a certain 148 00:08:14,440 --> 00:08:16,920 Speaker 2: age and all of that, so I feel pretty good 149 00:08:16,920 --> 00:08:19,680 Speaker 2: about the flu. We'll talk about COVID, we'll talk about 150 00:08:19,920 --> 00:08:23,320 Speaker 2: anything else, but we'll get to some phone calls right away. 151 00:08:23,320 --> 00:08:25,840 Speaker 2: I'll get to people early if that's okay. And again, 152 00:08:26,680 --> 00:08:29,960 Speaker 2: the doctor is not going to diagnose you know your situation. 153 00:08:30,120 --> 00:08:32,160 Speaker 2: You're not gonna be able to cough and tell, and 154 00:08:32,240 --> 00:08:34,080 Speaker 2: she's going to tell you we don't do that. But 155 00:08:34,440 --> 00:08:39,199 Speaker 2: any advice that you're seeking, she will provide it. Six one, seven, two, five, four, 156 00:08:39,760 --> 00:08:46,520 Speaker 2: six nine Back on Nightside right after these few messages, You're. 157 00:08:46,360 --> 00:08:51,080 Speaker 1: On Night Side with Dan Ray on WBZ, Boston's news radio. 158 00:08:52,360 --> 00:08:56,880 Speaker 2: My guest is doctor Shirah Jerome. She is an infectious 159 00:08:56,920 --> 00:09:04,240 Speaker 2: disease specialist. She uh general Infectious Disease Specialist, Hospital Epidemiology. 160 00:09:05,280 --> 00:09:08,200 Speaker 2: She's the chief Infection Control Officer at Tough's Medicine and 161 00:09:08,320 --> 00:09:11,199 Speaker 2: Hospital Epidemiologist at the Toughts Medical Center, as well as 162 00:09:11,200 --> 00:09:15,439 Speaker 2: say Professor of Medicine at Tufts University School of Medicine, 163 00:09:15,440 --> 00:09:19,000 Speaker 2: which is a great medical school. As I said, Doctor Deerome, 164 00:09:19,000 --> 00:09:22,400 Speaker 2: my purpose tonight is to give our people an opportunity. Now, 165 00:09:22,440 --> 00:09:24,760 Speaker 2: this is an opportunity to ask you some questions. And 166 00:09:26,080 --> 00:09:28,600 Speaker 2: let's start off. We haven't even touched COVID yet and 167 00:09:28,600 --> 00:09:30,319 Speaker 2: we're going to get get to that, and we haven't 168 00:09:30,360 --> 00:09:33,280 Speaker 2: touched flu. We did a little bit of RSV. We 169 00:09:33,320 --> 00:09:35,400 Speaker 2: can always come back if people have questions. Let's go 170 00:09:35,400 --> 00:09:39,040 Speaker 2: to Tom in Pennsylvania. Tom, welcome you at first this hour, 171 00:09:39,120 --> 00:09:41,160 Speaker 2: first tonight with doctor Shirah Durrome. 172 00:09:41,280 --> 00:09:45,880 Speaker 6: Go ahead, Tom, okay. Doctor My question to you was 173 00:09:46,040 --> 00:09:48,800 Speaker 6: number one. I'm sixty five. I've never had. 174 00:09:48,640 --> 00:09:49,559 Speaker 5: A flu shot. 175 00:09:50,280 --> 00:09:53,679 Speaker 6: I was asked a decade ago by my general practitioner 176 00:09:53,760 --> 00:09:57,120 Speaker 6: in Massachusetts to get a flu shot, and I explained 177 00:09:57,120 --> 00:10:01,160 Speaker 6: to her, I said, doctor, I spent my summers digging, 178 00:10:01,920 --> 00:10:05,800 Speaker 6: going to the local dump back when we burned trash, 179 00:10:06,000 --> 00:10:08,400 Speaker 6: shooting rats with twenty twos. 180 00:10:08,480 --> 00:10:11,080 Speaker 2: Okay, Tom, we don't need a huge explanation here, let's 181 00:10:11,120 --> 00:10:11,840 Speaker 2: get to the question. 182 00:10:12,720 --> 00:10:13,120 Speaker 5: All right. 183 00:10:13,160 --> 00:10:16,079 Speaker 6: So I played in the trash, I got my knees straped. 184 00:10:16,120 --> 00:10:16,600 Speaker 2: Okay. 185 00:10:16,800 --> 00:10:23,040 Speaker 6: The point being is I wasn't I wasn't raised by 186 00:10:23,080 --> 00:10:26,640 Speaker 6: a helicopter parent. I was a normal kid. So at 187 00:10:26,679 --> 00:10:30,560 Speaker 6: age sixty five, I rarely get the few flute. Do 188 00:10:30,640 --> 00:10:32,400 Speaker 6: you think I should get it? Yes? Or no? 189 00:10:35,240 --> 00:10:41,560 Speaker 4: Yeah, so great question. The hygiene theory would say that 190 00:10:41,640 --> 00:10:43,720 Speaker 4: the fact that you weren't raised, you know, in a 191 00:10:43,840 --> 00:10:47,400 Speaker 4: sterile environment, means you probably have a nice, strong immune 192 00:10:47,440 --> 00:10:49,520 Speaker 4: system and a healthy microbiome. 193 00:10:50,320 --> 00:10:50,960 Speaker 7: Right, and you're. 194 00:10:50,800 --> 00:10:54,360 Speaker 4: Intestine, you probably have lots of good bacteria in there 195 00:10:54,400 --> 00:10:56,360 Speaker 4: from all the things you've been exposing yourself to, and 196 00:10:56,400 --> 00:11:01,360 Speaker 4: that's good. That being said, I hear a lot of 197 00:11:01,360 --> 00:11:04,200 Speaker 4: people say to me, I didn't get the flu shot 198 00:11:04,360 --> 00:11:07,760 Speaker 4: until that one year that I got the flu, and 199 00:11:07,800 --> 00:11:11,800 Speaker 4: I never wanted again because even though I lived I 200 00:11:12,040 --> 00:11:14,839 Speaker 4: felt like I was going to die the entire time, 201 00:11:15,320 --> 00:11:19,360 Speaker 4: and as we know, many many people do die, people 202 00:11:19,400 --> 00:11:25,240 Speaker 4: with no underlying medical conditions, and so really the recommendation 203 00:11:25,360 --> 00:11:27,360 Speaker 4: is for everyone over the age of six months to 204 00:11:27,400 --> 00:11:30,560 Speaker 4: get the flu shot every year. You've probably been exposed 205 00:11:30,559 --> 00:11:33,360 Speaker 4: to flu. You may have had the flu. The immunity 206 00:11:33,400 --> 00:11:36,880 Speaker 4: from the illness that I've seen doesn't last very long, 207 00:11:37,120 --> 00:11:40,240 Speaker 4: and the disease can be deadly with no warning. So 208 00:11:40,360 --> 00:11:42,600 Speaker 4: I get my flu shot every single year. The one 209 00:11:42,600 --> 00:11:44,839 Speaker 4: time when I was a resident in the hospital and 210 00:11:44,880 --> 00:11:47,280 Speaker 4: I was too busy to get it, I really really 211 00:11:47,320 --> 00:11:49,559 Speaker 4: regretted it because I got super sick. 212 00:11:51,040 --> 00:11:53,000 Speaker 6: All right, Well, the point being is I've had the 213 00:11:53,040 --> 00:11:55,679 Speaker 6: flu before several times in my past. 214 00:11:57,280 --> 00:12:01,280 Speaker 2: Yeah, tolerated. Well, that's good talk, that's good. I'm glad 215 00:12:01,280 --> 00:12:03,600 Speaker 2: you're tolerated. You wouldn't be here with a cooler if 216 00:12:03,640 --> 00:12:04,080 Speaker 2: you didn't. 217 00:12:04,240 --> 00:12:05,720 Speaker 3: Go ahead, doctor, that's right. 218 00:12:05,920 --> 00:12:09,800 Speaker 4: Yeah, No, the immunity from the flu doesn't last very long. 219 00:12:09,840 --> 00:12:12,559 Speaker 4: In fact, you know the reason that the latest campaign 220 00:12:12,679 --> 00:12:16,160 Speaker 4: says flu before Boo, which is get your flu shot 221 00:12:16,320 --> 00:12:20,040 Speaker 4: by Halloween is you know this is this is kind 222 00:12:20,040 --> 00:12:22,120 Speaker 4: of the right time to get it. Mid month end 223 00:12:22,160 --> 00:12:25,400 Speaker 4: of the month. You may some people prefer not to 224 00:12:25,440 --> 00:12:28,600 Speaker 4: get it too early because you really wanted to last 225 00:12:28,640 --> 00:12:30,800 Speaker 4: you until the end of the season, which usually ends 226 00:12:30,800 --> 00:12:33,280 Speaker 4: around the end of March April, sometimes goes until later 227 00:12:33,320 --> 00:12:35,680 Speaker 4: in May and June, and it can even wear off 228 00:12:35,720 --> 00:12:38,200 Speaker 4: by the end of the season. That's how sort of 229 00:12:38,200 --> 00:12:41,079 Speaker 4: short acting. Unfortunately, the flu shot is for a variety 230 00:12:41,080 --> 00:12:44,840 Speaker 4: of reasons, so you can't you can't bank on prior 231 00:12:45,440 --> 00:12:48,760 Speaker 4: episodes of flu infection protecting you in the future for 232 00:12:48,840 --> 00:12:49,440 Speaker 4: this illness. 233 00:12:49,520 --> 00:12:52,560 Speaker 6: Okay, thank you. And then the other question as far 234 00:12:52,640 --> 00:13:01,000 Speaker 6: as the uh shingles vaccine? Do uh doctor that issue that? 235 00:13:01,760 --> 00:13:04,120 Speaker 6: Do they get a kickback from whoever makes that? 236 00:13:06,200 --> 00:13:06,840 Speaker 8: No? 237 00:13:06,920 --> 00:13:11,199 Speaker 5: Yeah, no, Tom, let me tell you what thing answer 238 00:13:11,240 --> 00:13:11,679 Speaker 5: my question. 239 00:13:11,800 --> 00:13:13,840 Speaker 2: Okay, Tom, don't hang up. I'm going to tell you 240 00:13:13,840 --> 00:13:17,760 Speaker 2: one thing. My dad hit the shiles. It was probably 241 00:13:17,800 --> 00:13:21,160 Speaker 2: the most horrific experience of his life. And this is 242 00:13:21,200 --> 00:13:22,679 Speaker 2: a guy who spent two and a half years in 243 00:13:22,760 --> 00:13:27,480 Speaker 2: China Burman, India during World War Two. The point is 244 00:13:27,720 --> 00:13:30,480 Speaker 2: I got that shingle shot because I know what my 245 00:13:30,600 --> 00:13:34,760 Speaker 2: dad went through later in his life. As a friend, Tom, 246 00:13:35,120 --> 00:13:36,960 Speaker 2: I'm not a doctor, No, do I play one on 247 00:13:37,000 --> 00:13:39,520 Speaker 2: the radio, get the shingle shot. 248 00:13:41,000 --> 00:13:44,680 Speaker 4: Yeah, I will say. You know, my hospital loses money 249 00:13:44,679 --> 00:13:47,400 Speaker 4: every time it gives a single shot because we don't 250 00:13:47,400 --> 00:13:50,120 Speaker 4: get reimbursed by insurance from it. So you know, there 251 00:13:50,760 --> 00:13:54,160 Speaker 4: is a you know, a rumor going around the doctors 252 00:13:54,200 --> 00:13:57,120 Speaker 4: get money from getting shots, and that is not true. 253 00:13:57,160 --> 00:14:01,440 Speaker 4: In fact, often they lose money. I get my shingle 254 00:14:01,520 --> 00:14:04,480 Speaker 4: shot too. I was nervous about that dose number two 255 00:14:04,960 --> 00:14:07,320 Speaker 4: because I had had some friends that got side effects 256 00:14:07,320 --> 00:14:10,360 Speaker 4: from dose number two, and I was really happy that 257 00:14:10,440 --> 00:14:14,440 Speaker 4: I actually didn't get any And I'm now much less 258 00:14:14,480 --> 00:14:17,200 Speaker 4: worried about getting an episode of shingles that can lead 259 00:14:17,280 --> 00:14:22,440 Speaker 4: to chronic pain that can sometimes last forever. Wouldn't want that. 260 00:14:22,840 --> 00:14:25,040 Speaker 4: And we have this new you know, newer data that 261 00:14:25,160 --> 00:14:27,560 Speaker 4: shows that getting your shingle shot may decrease your risk 262 00:14:27,600 --> 00:14:30,200 Speaker 4: of dementia. So those are all really good, good reasons 263 00:14:30,240 --> 00:14:30,640 Speaker 4: to get it. 264 00:14:31,280 --> 00:14:36,440 Speaker 2: We decrease you said decrease your risk of prevent, not increase. 265 00:14:36,560 --> 00:14:36,800 Speaker 3: Okay. 266 00:14:36,800 --> 00:14:40,600 Speaker 2: I want to make sure people heard that correctly. Okay, Tom, 267 00:14:40,640 --> 00:14:42,840 Speaker 2: you got some great medical advice. I hope you follow 268 00:14:42,920 --> 00:14:44,280 Speaker 2: through one. And I don't want to lose you as 269 00:14:44,280 --> 00:14:44,720 Speaker 2: a caller. 270 00:14:44,760 --> 00:14:50,160 Speaker 6: Okay, No, in conclusion, I've never had a social disease. 271 00:14:50,480 --> 00:14:54,360 Speaker 2: Goodness, well, that's that's really important to make that point. 272 00:14:54,800 --> 00:14:58,120 Speaker 3: Thank you, Thank you, Tom. We had the news here 273 00:14:58,160 --> 00:15:00,400 Speaker 3: at the bottom of the hour and. 274 00:15:00,640 --> 00:15:05,400 Speaker 2: Uh, he'scept one of my feisty callers, doctor Dern's that's 275 00:15:05,440 --> 00:15:10,160 Speaker 2: you probably excuse me. I have figured out we'll continue 276 00:15:10,280 --> 00:15:12,320 Speaker 2: right here on Nightside, right after the news at the 277 00:15:12,360 --> 00:15:14,840 Speaker 2: bottom of the hour, and we're dealt with shingles here. 278 00:15:14,880 --> 00:15:19,360 Speaker 2: I think we're definitive on that little extra call that 279 00:15:19,480 --> 00:15:22,120 Speaker 2: in a little extra We hadn't planned on shingles, but 280 00:15:22,480 --> 00:15:24,440 Speaker 2: we got you. We got you to do that information 281 00:15:24,560 --> 00:15:27,720 Speaker 2: as well. Coming back on night Side right after the 282 00:15:27,760 --> 00:15:29,440 Speaker 2: news break at the bottom of the hour with doctor 283 00:15:29,480 --> 00:15:30,479 Speaker 2: Shila Derone. 284 00:15:31,320 --> 00:15:36,040 Speaker 1: It's night Side with Boston's news Radio. 285 00:15:36,600 --> 00:15:39,600 Speaker 2: Doctor Shira Darne is my guest, doctor Dorone. I'm just 286 00:15:39,640 --> 00:15:42,800 Speaker 2: gonna keep going with the questions from callers. Uh, if 287 00:15:42,840 --> 00:15:46,560 Speaker 2: you don't mind, uh, and uh, I think it's I 288 00:15:46,600 --> 00:15:48,760 Speaker 2: think it's it's great because what happens is each one 289 00:15:48,800 --> 00:15:52,040 Speaker 2: of those callers probably represents five thousand people who want 290 00:15:52,040 --> 00:15:54,880 Speaker 2: to ask the same question. Let's go to Claire in 291 00:15:54,880 --> 00:15:57,240 Speaker 2: in Melrose. Hey, Claire, you are next on Nightside with 292 00:15:57,320 --> 00:15:58,600 Speaker 2: doctor Shira durn Go right. 293 00:15:58,480 --> 00:16:01,920 Speaker 9: Ahead, Claire, Kay, thank you very much, Dorek. So the 294 00:16:02,000 --> 00:16:06,320 Speaker 9: question I have is for IRS, the is that a 295 00:16:06,400 --> 00:16:09,720 Speaker 9: shot that you should get annually or do you get 296 00:16:09,720 --> 00:16:13,400 Speaker 9: it every four years? As COVID you get it annually 297 00:16:13,440 --> 00:16:15,880 Speaker 9: and flu? Could you let me know that? And then 298 00:16:15,920 --> 00:16:17,280 Speaker 9: I had another question. 299 00:16:18,960 --> 00:16:22,520 Speaker 4: Yeah, let's start with that. It is confusing, And the 300 00:16:22,680 --> 00:16:26,240 Speaker 4: answer is, we don't know yet. So this is the 301 00:16:26,280 --> 00:16:30,440 Speaker 4: second season that RSV vaccine has been available, and we 302 00:16:30,520 --> 00:16:33,560 Speaker 4: don't need no one needs to get another one yet 303 00:16:33,640 --> 00:16:36,480 Speaker 4: because it's still working. And so you know, this is 304 00:16:36,880 --> 00:16:40,080 Speaker 4: kind of what happens with new shots is we have 305 00:16:40,160 --> 00:16:44,160 Speaker 4: to keep watching the people who have had it, especially 306 00:16:44,160 --> 00:16:47,040 Speaker 4: the people who have been in the clinical trials. You know, 307 00:16:47,080 --> 00:16:50,040 Speaker 4: they got it earlier than the general public, and we're 308 00:16:50,080 --> 00:16:52,680 Speaker 4: watching to see when their immunity wears off. And the 309 00:16:52,720 --> 00:16:57,080 Speaker 4: answer is it has waned a little bit. The immunity 310 00:16:57,120 --> 00:16:59,720 Speaker 4: has gone down a bit, but not to the point 311 00:16:59,720 --> 00:17:02,680 Speaker 4: where we need to recommend that anybody get a second one. 312 00:17:02,760 --> 00:17:07,080 Speaker 4: So get one and then wait till the news comes 313 00:17:07,119 --> 00:17:09,080 Speaker 4: out that says when to get it, and maybe it'll 314 00:17:09,080 --> 00:17:11,120 Speaker 4: be every three years, every five years every ten. 315 00:17:11,200 --> 00:17:11,840 Speaker 9: We don't know yet. 316 00:17:12,800 --> 00:17:14,800 Speaker 2: I just can jump in here for a second. I 317 00:17:14,840 --> 00:17:17,720 Speaker 2: didn't realize there was an RSV shot even available. 318 00:17:17,920 --> 00:17:19,960 Speaker 4: Yeah I can, let's talk about that. 319 00:17:20,280 --> 00:17:23,720 Speaker 2: Yeah, I did my flu shot. Okay, which the extra 320 00:17:23,920 --> 00:17:26,480 Speaker 2: the high dose flu shot, does. 321 00:17:26,320 --> 00:17:27,920 Speaker 3: That protect me against RSV? 322 00:17:28,480 --> 00:17:32,200 Speaker 2: Or is RSV a second second shot that I don't 323 00:17:32,240 --> 00:17:34,000 Speaker 2: think I've ever had one that I should consider. 324 00:17:35,240 --> 00:17:38,359 Speaker 4: Yeah, I know, you should consider it. So it is 325 00:17:38,520 --> 00:17:41,639 Speaker 4: now recommended, and this is new this year. The age 326 00:17:41,960 --> 00:17:47,000 Speaker 4: range has gone down and the recommendation is stronger. So 327 00:17:47,040 --> 00:17:49,280 Speaker 4: when it first came out, you know, it was talk 328 00:17:49,359 --> 00:17:51,760 Speaker 4: to your doctor about whether the RSV vaccine it's good 329 00:17:51,760 --> 00:17:54,119 Speaker 4: for you. Now that we have more information on how 330 00:17:54,160 --> 00:17:57,200 Speaker 4: well it's working and on the risk of side effects, 331 00:17:57,440 --> 00:18:01,639 Speaker 4: the recommendation is at all adults sixty years of age 332 00:18:01,720 --> 00:18:02,680 Speaker 4: and older. 333 00:18:02,400 --> 00:18:03,359 Speaker 7: Get the RSV. 334 00:18:03,200 --> 00:18:07,600 Speaker 4: Vaccine, and then adult fifty to fifty nine who have 335 00:18:08,240 --> 00:18:12,520 Speaker 4: underlying medical conditions to put them at risk of severe RSB, 336 00:18:12,600 --> 00:18:15,160 Speaker 4: which is really the same underlying medical conditions that would 337 00:18:15,240 --> 00:18:17,760 Speaker 4: qualify you for other things like the COVID vaccine. 338 00:18:17,800 --> 00:18:20,880 Speaker 2: Okay, So, without without being too personal here, I think 339 00:18:20,960 --> 00:18:25,480 Speaker 2: we just talked about the infection what I called from 340 00:18:25,480 --> 00:18:28,680 Speaker 2: the other night, what I thought was an upper respiratory 341 00:18:28,680 --> 00:18:31,720 Speaker 2: infection and URI when I was really wheezing and went 342 00:18:31,760 --> 00:18:37,080 Speaker 2: and got last December an X ray, and we kind 343 00:18:37,080 --> 00:18:40,280 Speaker 2: of have concluded maybe I had RSV. Does that make 344 00:18:40,320 --> 00:18:42,800 Speaker 2: it even more important than I should be considering an 345 00:18:42,920 --> 00:18:44,160 Speaker 2: RSV shot this year? 346 00:18:45,520 --> 00:18:47,680 Speaker 4: Yeah? I mean, you know what we've seen is that 347 00:18:47,800 --> 00:18:50,960 Speaker 4: you know, you caught a respiratory virus and it kind 348 00:18:51,040 --> 00:18:53,639 Speaker 4: of took you out for the count, right, and so 349 00:18:54,080 --> 00:18:57,080 Speaker 4: you have at your disposal of assuming you're over the 350 00:18:57,119 --> 00:18:59,560 Speaker 4: age of sixty, you have at your well over. 351 00:18:59,520 --> 00:19:01,439 Speaker 6: The too much. 352 00:19:03,920 --> 00:19:07,280 Speaker 4: It's new RSV vaccine which can protect you. The other 353 00:19:07,760 --> 00:19:11,239 Speaker 4: adult population that we use this vaccine for now is 354 00:19:11,440 --> 00:19:15,119 Speaker 4: pregnant women. And we give it to pregnant women now 355 00:19:15,480 --> 00:19:19,159 Speaker 4: because the antibodies will transfer to their babies. And we 356 00:19:19,240 --> 00:19:22,119 Speaker 4: know that newborn babies are at the highest risk for 357 00:19:22,320 --> 00:19:26,480 Speaker 4: severe r SV disease with hospitalization and even deak, and 358 00:19:26,520 --> 00:19:31,679 Speaker 4: that newborn babies are too young to receive vaccines. Although 359 00:19:32,160 --> 00:19:35,040 Speaker 4: if the pregnant woman did not get the RSV vaccine, 360 00:19:35,080 --> 00:19:37,359 Speaker 4: we now also see we have all these new products 361 00:19:37,400 --> 00:19:39,920 Speaker 4: for r SV. We now also have a what we 362 00:19:40,040 --> 00:19:44,680 Speaker 4: call passive immunization. We have an immunoglobular treatment that essentially 363 00:19:44,720 --> 00:19:48,720 Speaker 4: immunizes newborn babies against RSP. So we have so much 364 00:19:48,760 --> 00:19:50,960 Speaker 4: in the arsenal now for this disease which was really 365 00:19:51,320 --> 00:19:54,280 Speaker 4: causing quite a bit of morbidity previously. 366 00:19:54,600 --> 00:19:57,359 Speaker 2: Okay, clear I stole some of your time, Go right ahead. 367 00:19:57,400 --> 00:19:58,359 Speaker 2: You have another question. 368 00:19:59,520 --> 00:20:01,800 Speaker 9: Yeah, I have a a couple more questions. One is, 369 00:20:02,560 --> 00:20:05,440 Speaker 9: would it be possible for you to list the different 370 00:20:06,160 --> 00:20:09,679 Speaker 9: shots or injections and immunizations that people should get and 371 00:20:09,720 --> 00:20:12,960 Speaker 9: whether they're annually, bi annually, et cetera. Like we know 372 00:20:13,080 --> 00:20:15,480 Speaker 9: COVID get it every year, CLU get it every year. 373 00:20:15,960 --> 00:20:19,240 Speaker 9: I had an RSV last year, so it sounds like 374 00:20:19,280 --> 00:20:21,440 Speaker 9: I don't need to get it this year until they 375 00:20:21,480 --> 00:20:25,240 Speaker 9: say a new ones out get it? Like shingles? Should 376 00:20:25,240 --> 00:20:26,480 Speaker 9: you get that every. 377 00:20:27,400 --> 00:20:29,360 Speaker 2: That's a one and done? I believe, I. 378 00:20:29,280 --> 00:20:32,800 Speaker 4: Think, yeah, exactly. So I think I wonder Dan if 379 00:20:32,840 --> 00:20:38,520 Speaker 4: we can post the CDC's recommended vaccine schedule for adult. 380 00:20:38,680 --> 00:20:39,720 Speaker 9: That's the website you. 381 00:20:39,680 --> 00:20:41,480 Speaker 4: Want to go to, and that's going to have the 382 00:20:41,560 --> 00:20:45,160 Speaker 4: vaccine the vaccines for who should get them and how 383 00:20:45,200 --> 00:20:46,720 Speaker 4: many times or how often. 384 00:20:47,240 --> 00:20:49,119 Speaker 2: I think the best thing for us to do would 385 00:20:49,119 --> 00:20:52,920 Speaker 2: be to refer Claire and anyone else besides obviously talking 386 00:20:52,960 --> 00:20:55,080 Speaker 2: to their own doctor, because none of us can know 387 00:20:55,280 --> 00:20:58,360 Speaker 2: the specific Neither you and I and you're the only 388 00:20:58,400 --> 00:21:02,000 Speaker 2: one that matters here can know the specific circumstances that 389 00:21:02,359 --> 00:21:05,520 Speaker 2: anyone may have experienced. Their doctors would know that. But 390 00:21:05,640 --> 00:21:10,080 Speaker 2: it's just clear. Go to the CDC website, and I 391 00:21:10,119 --> 00:21:11,000 Speaker 2: think that any. 392 00:21:11,000 --> 00:21:14,160 Speaker 4: Organization schedule by age is what the page is called. 393 00:21:14,440 --> 00:21:16,560 Speaker 4: It's called just updated in August. 394 00:21:16,640 --> 00:21:21,360 Speaker 2: So I stepped on your I stepped in your audio. There, 395 00:21:21,440 --> 00:21:24,440 Speaker 2: give the give clear in the audience that that site 396 00:21:24,440 --> 00:21:24,960 Speaker 2: one more. 397 00:21:24,840 --> 00:21:29,760 Speaker 4: Time DDC dot gov. And within that their website it's 398 00:21:29,800 --> 00:21:34,160 Speaker 4: called the Adult Immunization Schedule by Age, and it was 399 00:21:34,200 --> 00:21:36,440 Speaker 4: it was just updated in August twenty twenty five. 400 00:21:36,600 --> 00:21:38,320 Speaker 3: Okay, Claire, I hope that helps. 401 00:21:38,480 --> 00:21:40,600 Speaker 9: Awesome, Great, Yeah, that's excellent. 402 00:21:40,920 --> 00:21:42,359 Speaker 2: Thank you very much, Thanks Claire. 403 00:21:42,400 --> 00:21:43,080 Speaker 3: Great questions. 404 00:21:43,160 --> 00:21:46,359 Speaker 2: Let's keep rolling here, going to go to George in Bridgewater. 405 00:21:46,480 --> 00:21:48,280 Speaker 3: George, you're on with doctor Shirah. 406 00:21:47,960 --> 00:21:51,720 Speaker 5: Drog Go right ahead, hello, doctor Shia. 407 00:21:54,359 --> 00:21:57,280 Speaker 10: In June of nineteen. 408 00:21:58,520 --> 00:22:01,560 Speaker 11: Twenty twenty four, I bought it an Apple Watch, and 409 00:22:01,640 --> 00:22:05,440 Speaker 11: in July I found by accident that my heart rate 410 00:22:05,720 --> 00:22:10,800 Speaker 11: was going only when I sleep somewhere between it has 411 00:22:10,840 --> 00:22:13,159 Speaker 11: to be for ten minutes, so they won't document it 412 00:22:14,280 --> 00:22:18,639 Speaker 11: between thirty and thirty five. And it was seventeen days 413 00:22:18,680 --> 00:22:21,520 Speaker 11: in a row. So you know, I sent that email 414 00:22:21,680 --> 00:22:27,080 Speaker 11: to Listening the seventeen days and they took me into 415 00:22:27,160 --> 00:22:27,800 Speaker 11: the VA. 416 00:22:27,840 --> 00:22:31,840 Speaker 2: And I don't know, George that this is doctor Deron's 417 00:22:31,840 --> 00:22:32,720 Speaker 2: area of expertise. 418 00:22:32,760 --> 00:22:35,000 Speaker 3: So let me let me jump in here for a second. 419 00:22:35,119 --> 00:22:38,639 Speaker 10: Well, my question was just going to be if she 420 00:22:38,840 --> 00:22:42,720 Speaker 10: knew that if COVID was could be causing a slow 421 00:22:42,760 --> 00:22:45,360 Speaker 10: heart rate. I think if they call it Brady Cardier 422 00:22:45,480 --> 00:22:47,640 Speaker 10: and she doesn't know, that's fine, Okay. 423 00:22:47,480 --> 00:22:47,880 Speaker 2: Let's see. 424 00:22:47,880 --> 00:22:50,879 Speaker 3: Okay, you brought it back to COVID doctor Derone. 425 00:22:51,400 --> 00:22:54,480 Speaker 2: You can easily take a take a passing that question 426 00:22:54,520 --> 00:22:57,320 Speaker 2: because I think I think it's probably beyond the scope 427 00:22:57,359 --> 00:23:00,560 Speaker 2: of conversation tonight. But if you'd like to help George out, 428 00:23:00,560 --> 00:23:01,200 Speaker 2: feel free. 429 00:23:02,280 --> 00:23:02,480 Speaker 5: Yeah. 430 00:23:02,520 --> 00:23:05,200 Speaker 4: I mean, I also say that COVID can COVID infection 431 00:23:05,359 --> 00:23:08,479 Speaker 4: can affect the heart for sure, and it can cause 432 00:23:08,600 --> 00:23:12,800 Speaker 4: especially the heart muscle. And then you know, depending on 433 00:23:12,840 --> 00:23:15,919 Speaker 4: what your specialist at the VIA, your cardiologists, you know, 434 00:23:16,040 --> 00:23:18,600 Speaker 4: made as a diagnosis, they may be able to tell 435 00:23:18,640 --> 00:23:23,520 Speaker 4: you whether that condition is or is not potentially related 436 00:23:23,600 --> 00:23:27,520 Speaker 4: to the classic heart inflammation that we see from COVID 437 00:23:27,600 --> 00:23:28,280 Speaker 4: nineteen affection. 438 00:23:28,680 --> 00:23:31,760 Speaker 3: Okay, George, that's okay, good. 439 00:23:32,480 --> 00:23:35,480 Speaker 10: I really appreciate it. Doctor and Yan, thank you very much. 440 00:23:35,560 --> 00:23:36,240 Speaker 3: You're very welcome. 441 00:23:36,280 --> 00:23:38,320 Speaker 2: George. Let me get one more call in here before 442 00:23:38,359 --> 00:23:40,800 Speaker 2: we have got to go to break. We will go 443 00:23:40,840 --> 00:23:44,159 Speaker 2: to June in Providence, Rhode Island where we're bouncing around here, Pennsylvania, 444 00:23:44,200 --> 00:23:45,480 Speaker 2: Rhode Island in Massachusetts. 445 00:23:45,520 --> 00:23:46,320 Speaker 3: Go ahead, June. 446 00:23:47,160 --> 00:23:47,360 Speaker 4: Oh. 447 00:23:47,440 --> 00:23:51,760 Speaker 7: Yes, my question was regarding RSV as well, but you've 448 00:23:51,880 --> 00:23:54,520 Speaker 7: answered it because you know I took my shot two 449 00:23:54,600 --> 00:23:57,440 Speaker 7: years ago for that, so I know I'm still okay. 450 00:23:57,760 --> 00:23:59,960 Speaker 7: But I just like to make a comment about Tom 451 00:24:00,080 --> 00:24:04,240 Speaker 7: and shingles. You stated how sickly your father was from it. 452 00:24:04,800 --> 00:24:10,200 Speaker 2: He was absolutely miserable. He was painful, it was uncomfortable, miserable. 453 00:24:11,359 --> 00:24:13,320 Speaker 7: Well, you can get it in your eyes as well, 454 00:24:13,760 --> 00:24:18,119 Speaker 7: and people can lose their sight. So I personally have 455 00:24:18,200 --> 00:24:19,879 Speaker 7: had my shingles shot as well. 456 00:24:20,520 --> 00:24:21,720 Speaker 2: Okay, good point. 457 00:24:21,920 --> 00:24:25,359 Speaker 4: Yeah, you can have very severe complications of shingles, absolutely, 458 00:24:25,400 --> 00:24:27,840 Speaker 4: so it's not just misery. It can be really life 459 00:24:28,000 --> 00:24:30,960 Speaker 4: changing in a terrible way. 460 00:24:31,000 --> 00:24:34,640 Speaker 7: To just ask one other questions your advice about taking 461 00:24:35,240 --> 00:24:39,400 Speaker 7: the flu vaccine and the SHINK and the covid vaccine 462 00:24:39,440 --> 00:24:42,480 Speaker 7: together if you've never done it before and you're over. 463 00:24:42,359 --> 00:24:47,760 Speaker 4: Sixty, yeah, yeah, I mean generally, the consideration around whether 464 00:24:47,800 --> 00:24:49,560 Speaker 4: you want to take them at the same time or 465 00:24:49,600 --> 00:24:51,600 Speaker 4: space them out is that. 466 00:24:51,560 --> 00:24:53,320 Speaker 8: If you get side effects. 467 00:24:52,880 --> 00:24:57,359 Speaker 4: From both, you might feel more side effects because you 468 00:24:57,440 --> 00:25:00,440 Speaker 4: took two, you know, and if you but if you 469 00:25:00,520 --> 00:25:03,040 Speaker 4: space them out and you get side effects from both, 470 00:25:03,320 --> 00:25:05,879 Speaker 4: then you have to go through that twice. Those are 471 00:25:05,920 --> 00:25:08,320 Speaker 4: those you know, That's usually what I tell people to consider. Now, 472 00:25:08,440 --> 00:25:10,440 Speaker 4: some people said, but I never get that effects from 473 00:25:10,480 --> 00:25:12,399 Speaker 4: the Polueheather, I never get the side up side effects 474 00:25:12,400 --> 00:25:14,919 Speaker 4: from the covid vaccine, and then you certainly would want to, 475 00:25:15,000 --> 00:25:18,240 Speaker 4: you know, really, you know, take that convenience factor and 476 00:25:18,320 --> 00:25:20,240 Speaker 4: say I'll get them at the same time. Now there 477 00:25:20,400 --> 00:25:24,719 Speaker 4: is a state a new statement by the new FDA leadership, 478 00:25:24,880 --> 00:25:29,159 Speaker 4: you know, saying it it hasn't been They don't The 479 00:25:29,200 --> 00:25:32,359 Speaker 4: new FDA doesn't feel like there's been a well enough 480 00:25:32,640 --> 00:25:36,800 Speaker 4: controlled or large enough clinical trial to demonstrate the safety 481 00:25:36,840 --> 00:25:40,160 Speaker 4: and effectiveness of combining the flu vaccine with the covid vaccine. 482 00:25:40,160 --> 00:25:44,000 Speaker 4: At the same time, that being said, millions of people 483 00:25:44,119 --> 00:25:47,679 Speaker 4: do it every year, and we haven't seen any adverse 484 00:25:47,720 --> 00:25:52,800 Speaker 4: events from it or any real significant effect on effectiveness. 485 00:25:53,400 --> 00:25:55,600 Speaker 4: So it's really your personal choice. 486 00:25:55,720 --> 00:25:58,760 Speaker 2: What clarification, if I could just make sure I understand 487 00:25:58,760 --> 00:26:02,879 Speaker 2: this correctly. A year ago, there was some hope or 488 00:26:03,040 --> 00:26:07,520 Speaker 2: speculation that the covid and flu vaccine would be combined 489 00:26:07,520 --> 00:26:10,679 Speaker 2: in one shot. That did not occur. Am I correct 490 00:26:10,680 --> 00:26:13,200 Speaker 2: on That's that's right. 491 00:26:13,240 --> 00:26:17,679 Speaker 4: It's not out yet, Okay, I think and hope that 492 00:26:17,760 --> 00:26:21,720 Speaker 4: it's still being studied. Then the new FDA leadership is 493 00:26:22,119 --> 00:26:24,679 Speaker 4: holding the vaccine companies to you know, a bit of 494 00:26:24,680 --> 00:26:27,680 Speaker 4: a higher standard than before, so those studies may take 495 00:26:27,720 --> 00:26:28,719 Speaker 4: longer now to compute. 496 00:26:28,920 --> 00:26:31,600 Speaker 2: Well, I don't mind let high standards. 497 00:26:32,800 --> 00:26:33,360 Speaker 3: I like that. 498 00:26:33,800 --> 00:26:36,640 Speaker 2: But when you said space amount, what is the truth? 499 00:26:36,720 --> 00:26:39,240 Speaker 2: It's not like take one on a Tuesday, in the 500 00:26:39,280 --> 00:26:42,479 Speaker 2: next one on Thursday. How how long a space is 501 00:26:42,880 --> 00:26:46,760 Speaker 2: recommended if someone's concerned about side effects and they're going to. 502 00:26:46,800 --> 00:26:48,360 Speaker 3: Get both shots. 503 00:26:48,760 --> 00:26:52,000 Speaker 4: Yeah, I mean, you know, really it's it's how long 504 00:26:52,040 --> 00:26:54,880 Speaker 4: do your side effects last? I mean, most people if 505 00:26:54,920 --> 00:26:57,200 Speaker 4: they do get side effects, they don't last more than 506 00:26:57,359 --> 00:27:01,159 Speaker 4: a day. So yes, you could do the second one 507 00:27:01,400 --> 00:27:02,960 Speaker 4: two days later if you want it. 508 00:27:03,240 --> 00:27:06,920 Speaker 2: Okay, but again each individual should use their best judgment. June, 509 00:27:06,920 --> 00:27:08,320 Speaker 2: great questions. Thank you so much. 510 00:27:08,359 --> 00:27:11,000 Speaker 7: Okay, thank you, goodbye. 511 00:27:11,920 --> 00:27:13,840 Speaker 2: We will take a very quick break. My guest is 512 00:27:13,880 --> 00:27:17,560 Speaker 2: doctor Shira Dorone. She is with a Tough's Medical she's 513 00:27:17,600 --> 00:27:21,679 Speaker 2: a professor at Tough School of Medicine. She is answering 514 00:27:21,720 --> 00:27:24,320 Speaker 2: a wide variety of questions. And I hope that if 515 00:27:24,359 --> 00:27:26,879 Speaker 2: you want to jump on board, doctor Dorone will be 516 00:27:26,960 --> 00:27:27,600 Speaker 2: leaving us. 517 00:27:28,000 --> 00:27:29,080 Speaker 3: At ten o'clock. 518 00:27:29,119 --> 00:27:32,160 Speaker 2: I'm delighted and I appreciate the fact that she would 519 00:27:32,160 --> 00:27:35,520 Speaker 2: give us an hour tonight on top of our briefer 520 00:27:35,560 --> 00:27:38,840 Speaker 2: interview earlier this week. But to talk to listeners, that's 521 00:27:38,880 --> 00:27:41,120 Speaker 2: what is to me most important. So if you want 522 00:27:41,160 --> 00:27:43,320 Speaker 2: to get in right now, six one, seven, two, five, 523 00:27:43,359 --> 00:27:45,800 Speaker 2: four to ten thirty or six one, seven, nine three 524 00:27:46,160 --> 00:27:49,080 Speaker 2: ten thirty. Coming right back after this quick. 525 00:27:48,800 --> 00:27:54,600 Speaker 1: Commercial break, It's Night Side with Dan Ray on Boston's 526 00:27:54,640 --> 00:27:55,240 Speaker 1: news Radio. 527 00:27:56,200 --> 00:27:58,119 Speaker 3: We're talking with doctor Shira Dorone. 528 00:27:58,480 --> 00:28:02,320 Speaker 2: She's an infectious disease he's a specialist chief Infection Control 529 00:28:02,440 --> 00:28:07,400 Speaker 2: officer Tufts Medicine Hospital, epidemiologist at Toughts Medical Center, and 530 00:28:07,440 --> 00:28:10,760 Speaker 2: a professor of medicine at Toughs University. Let me try 531 00:28:10,760 --> 00:28:12,760 Speaker 2: to get a couple more in here. Let me go 532 00:28:12,880 --> 00:28:15,080 Speaker 2: to a David in drake it, David, you are on 533 00:28:15,160 --> 00:28:16,440 Speaker 2: with doctor Shirah Duron. 534 00:28:16,480 --> 00:28:18,600 Speaker 3: Go righthead, David, Well. 535 00:28:18,400 --> 00:28:23,800 Speaker 5: Good evening. I wanted to talk about blood tests. 536 00:28:24,280 --> 00:28:24,560 Speaker 6: Uh. 537 00:28:24,600 --> 00:28:28,359 Speaker 5: And one of the components would be white blood cells. 538 00:28:28,720 --> 00:28:32,600 Speaker 5: What is the relationship? For example, I have a ten, 539 00:28:33,720 --> 00:28:38,000 Speaker 5: which I understand the range being four to eleven. Uh, 540 00:28:38,040 --> 00:28:41,360 Speaker 5: So I thought that ten was pretty good. Does that 541 00:28:41,680 --> 00:28:44,680 Speaker 5: put me in a good area? 542 00:28:45,080 --> 00:28:46,720 Speaker 3: Let me let me do this, David, David. 543 00:28:46,760 --> 00:28:48,320 Speaker 2: Let me just first of all, see if this is 544 00:28:48,360 --> 00:28:52,040 Speaker 2: an area that doctor Dorone is sufficially comfortable with that 545 00:28:52,120 --> 00:28:54,680 Speaker 2: she wants to answer answer a question because early talking 546 00:28:54,680 --> 00:28:57,920 Speaker 2: about infectious diseases, doctor Drone, is this an area that. 547 00:28:57,840 --> 00:28:58,600 Speaker 3: We want to go down? 548 00:29:00,240 --> 00:29:02,560 Speaker 4: Yeah, I mean I can talk generally about how we 549 00:29:02,680 --> 00:29:04,959 Speaker 4: use white blood cell count and infectious diseases. 550 00:29:05,080 --> 00:29:08,320 Speaker 2: Okay, go ahead, data, Yeah, go ahead. I'm sorry, doctor, 551 00:29:08,560 --> 00:29:10,800 Speaker 2: didn't mean to direct you once. Let me step out 552 00:29:10,840 --> 00:29:11,520 Speaker 2: of the conversation. 553 00:29:11,640 --> 00:29:17,400 Speaker 5: Go ahead, question, I'm about them eleven, and I thought 554 00:29:17,440 --> 00:29:22,480 Speaker 5: that was pretty good, and being a transplant patient on 555 00:29:22,720 --> 00:29:27,240 Speaker 5: immunosuppressant for ten years, I was very reluctant to take 556 00:29:27,280 --> 00:29:31,800 Speaker 5: the COVID shot. And at MGH in their infectious disease 557 00:29:31,840 --> 00:29:36,360 Speaker 5: department over there, they were sort of iffy about it too. 558 00:29:36,440 --> 00:29:40,960 Speaker 5: They said, well, we haven't experimented enough with transplantations to 559 00:29:41,080 --> 00:29:44,960 Speaker 5: know it's the COVID shot is not going to hurt 560 00:29:45,000 --> 00:29:47,680 Speaker 5: you rather than help you. So I never took it 561 00:29:48,200 --> 00:29:53,040 Speaker 5: and retired person. So I isolate. I don't mix, I 562 00:29:53,040 --> 00:29:56,240 Speaker 5: don't go to parties, I don't go in crowds, et cetera. 563 00:29:56,520 --> 00:29:59,840 Speaker 5: And I've been fine as far as COVID and flew 564 00:30:00,320 --> 00:30:04,800 Speaker 5: this concern since the transplant ten years ago. So I wondered, 565 00:30:05,400 --> 00:30:09,320 Speaker 5: do you think if that high for some reason, why 566 00:30:09,400 --> 00:30:12,000 Speaker 5: is it high? I don't know in my fe. 567 00:30:11,800 --> 00:30:14,680 Speaker 2: Okay, let's get let's let's David, let's let's try to 568 00:30:14,720 --> 00:30:17,600 Speaker 2: get to an answer here. First of all, congratulations in 569 00:30:17,680 --> 00:30:20,240 Speaker 2: being able to isolate, and that might have been one 570 00:30:20,280 --> 00:30:23,280 Speaker 2: of the benefits for for COVID. Actually, doctor droon, you 571 00:30:23,320 --> 00:30:25,080 Speaker 2: want to take again. We're a little bit off track. 572 00:30:25,160 --> 00:30:25,920 Speaker 3: Can't go ahead? 573 00:30:26,720 --> 00:30:28,680 Speaker 4: Yeah, I mean I'll just generally say the white blood 574 00:30:28,680 --> 00:30:31,440 Speaker 4: cell count is something that we infectious disease doctors use 575 00:30:31,960 --> 00:30:37,800 Speaker 4: to determine whether we think somebody has an active bacterial infection. 576 00:30:38,600 --> 00:30:40,200 Speaker 4: White blood cell kinds can go up when you have 577 00:30:40,200 --> 00:30:42,720 Speaker 4: a bacterial infection. It can go down when you have 578 00:30:43,080 --> 00:30:45,520 Speaker 4: a viral infection. It can go down when you have 579 00:30:45,560 --> 00:30:48,880 Speaker 4: a severe vecterial infection with sepsis. But as a you know, 580 00:30:48,920 --> 00:30:52,120 Speaker 4: when you're well, you know your white blood cell kind 581 00:30:52,200 --> 00:30:53,560 Speaker 4: is going to be your white blood cell count, and 582 00:30:53,800 --> 00:30:56,800 Speaker 4: you know as long as it's relatively within a normal 583 00:30:56,920 --> 00:30:59,320 Speaker 4: range or even a little bit higher or lower, it 584 00:30:59,360 --> 00:31:04,840 Speaker 4: doesn't necessar sssarily reflect anything about you or your ability 585 00:31:04,880 --> 00:31:12,760 Speaker 4: to fight infection. Now, transplant recipients are a prime candidate 586 00:31:12,880 --> 00:31:16,640 Speaker 4: for an annual COVID vaccine. Now, but when the vaccine 587 00:31:16,680 --> 00:31:19,000 Speaker 4: first came out, we didn't know, and you made this 588 00:31:19,200 --> 00:31:22,120 Speaker 4: maybe what you're talking about. When the vaccine first came out, 589 00:31:22,400 --> 00:31:26,120 Speaker 4: we didn't know would transplant recipients people who are heavily 590 00:31:26,240 --> 00:31:30,360 Speaker 4: immunosuppressed with the drugs that are designed to suppress your 591 00:31:30,360 --> 00:31:33,040 Speaker 4: immune system so you don't reject the organ or the 592 00:31:33,080 --> 00:31:35,200 Speaker 4: bone mir that you received. We didn't know if the 593 00:31:35,400 --> 00:31:38,080 Speaker 4: vaccine would work. We didn't know if it would allow 594 00:31:38,400 --> 00:31:41,680 Speaker 4: people like that to generate an immune response. And what 595 00:31:41,720 --> 00:31:43,960 Speaker 4: we did find and what we now do know, is 596 00:31:44,000 --> 00:31:46,640 Speaker 4: that they do generate an immune response. The vast, vast 597 00:31:46,720 --> 00:31:48,960 Speaker 4: majority of people who have had a transplant and people 598 00:31:49,080 --> 00:31:52,200 Speaker 4: who are on immunosuppress and medications in general, of which 599 00:31:52,240 --> 00:31:54,680 Speaker 4: there are so many these days, for so many of 600 00:31:54,720 --> 00:31:59,160 Speaker 4: the autoimmune diseases as well, do generate a good immune response, 601 00:31:59,280 --> 00:32:01,440 Speaker 4: meaning they re on well to the COVID vaccine and 602 00:32:01,560 --> 00:32:06,520 Speaker 4: helps to prevent severe infection. And so I would recommend 603 00:32:06,560 --> 00:32:10,960 Speaker 4: that somebody in your situation definitely get an annual COVID 604 00:32:11,000 --> 00:32:14,080 Speaker 4: vaccine and then maybe you don't have to isolate at 605 00:32:14,120 --> 00:32:14,800 Speaker 4: home as much. 606 00:32:14,920 --> 00:32:15,680 Speaker 6: And then you know. 607 00:32:15,720 --> 00:32:18,720 Speaker 4: Of course, the other piece to that is we heard 608 00:32:18,800 --> 00:32:21,560 Speaker 4: when people were isolated, when everyone was trying to isolate 609 00:32:21,600 --> 00:32:23,720 Speaker 4: at home and avoid COVID, we heard so many stories. 610 00:32:23,800 --> 00:32:26,360 Speaker 4: But I did all the things. I stayed at home, 611 00:32:26,440 --> 00:32:28,840 Speaker 4: I never saw anybody, and I still got COVID because 612 00:32:28,840 --> 00:32:31,280 Speaker 4: that little bugger is hard to avoid. 613 00:32:31,680 --> 00:32:33,920 Speaker 2: And I also think, and I've raised this before with 614 00:32:34,000 --> 00:32:35,920 Speaker 2: the doctor Drome, that I think when they rolled the 615 00:32:37,520 --> 00:32:39,920 Speaker 2: COVID vaccine out. I think it was really mislabeled. I 616 00:32:39,960 --> 00:32:41,840 Speaker 2: think a lot of people made the assumption, and I 617 00:32:41,880 --> 00:32:44,960 Speaker 2: think the government even suggested back then, hey, get the 618 00:32:45,000 --> 00:32:47,080 Speaker 2: vaccine and you're going to be all set, kind of 619 00:32:47,120 --> 00:32:48,760 Speaker 2: like the polio vaccine, and. 620 00:32:48,680 --> 00:32:50,720 Speaker 3: I think they either. 621 00:32:50,800 --> 00:32:54,400 Speaker 2: I don't think they did intentionally, but I think that unintentionally, 622 00:32:54,680 --> 00:32:56,840 Speaker 2: the message was the messaging was not as clear as 623 00:32:56,880 --> 00:32:58,480 Speaker 2: it should have as it should have been. 624 00:33:00,520 --> 00:33:04,800 Speaker 4: Everybody had the right intentions, but the messaging was not 625 00:33:05,440 --> 00:33:09,600 Speaker 4: clear and not totally transparent. The idea behind the vaccine 626 00:33:09,720 --> 00:33:14,760 Speaker 4: is to prevent severe disease, and that's why this year 627 00:33:14,960 --> 00:33:18,480 Speaker 4: actually the messaging has finally really shifted. So we're up 628 00:33:18,560 --> 00:33:23,959 Speaker 4: until this year that the guidance has been for everyone 629 00:33:24,000 --> 00:33:25,960 Speaker 4: over the age of six months to get an annual 630 00:33:26,400 --> 00:33:30,760 Speaker 4: COVID vaccine, just like the recommendation for flu vaccine. And 631 00:33:30,800 --> 00:33:33,960 Speaker 4: this year, for the first time, that guidance is changing. 632 00:33:34,760 --> 00:33:38,840 Speaker 4: And that is really in appreciation of what you just said, Dan, 633 00:33:38,880 --> 00:33:42,280 Speaker 4: which is that you know, we don't want to over 634 00:33:42,400 --> 00:33:45,240 Speaker 4: sell our vaccines. That's not how you get the public's 635 00:33:45,320 --> 00:33:50,600 Speaker 4: trust in public health officials. And because the vaccine really 636 00:33:50,680 --> 00:33:55,960 Speaker 4: hasn't worked to prevent infection in a durable, long lasting way. 637 00:33:56,520 --> 00:34:00,640 Speaker 4: And because everyone in the country a sense has either 638 00:34:00,640 --> 00:34:05,040 Speaker 4: HAAD COVID or the vaccine or both multiple times, and 639 00:34:05,080 --> 00:34:09,960 Speaker 4: so that immunity community immunity is high, we're not seeing 640 00:34:10,120 --> 00:34:12,839 Speaker 4: as much severe disease, we're not seeing as much death, 641 00:34:13,160 --> 00:34:16,719 Speaker 4: and we can really revisit the recommendations, and so those 642 00:34:16,760 --> 00:34:20,000 Speaker 4: recommendations now and there's you know, there's a big mess 643 00:34:20,000 --> 00:34:24,400 Speaker 4: in the CDC, and there's been a big overhaul of 644 00:34:24,440 --> 00:34:28,080 Speaker 4: the Advisory Committee to the CDC. So Massachusetts came out 645 00:34:28,160 --> 00:34:32,160 Speaker 4: with guidelines that are based on professional societies and other 646 00:34:32,239 --> 00:34:36,439 Speaker 4: Northeastern state health officials. And the Massachusetts gidelines, which align 647 00:34:36,520 --> 00:34:39,800 Speaker 4: with professional societies, are really we're gonna we're gonna recommend 648 00:34:39,840 --> 00:34:43,120 Speaker 4: the annual vaccine for high risk people this year. 649 00:34:43,360 --> 00:34:44,960 Speaker 3: And hopefully whatever happens. 650 00:34:44,960 --> 00:34:48,360 Speaker 2: We still don't know how how tough a season it 651 00:34:48,400 --> 00:34:51,560 Speaker 2: will be for COVID that you have to I think assume, 652 00:34:52,440 --> 00:34:54,160 Speaker 2: don't don't assume it's going to be it's going to 653 00:34:54,239 --> 00:34:57,319 Speaker 2: be easy. So protect yourselves, especially Ken David, I need 654 00:34:57,360 --> 00:34:59,000 Speaker 2: to get one more in here. Thank you for your call. 655 00:34:59,080 --> 00:35:01,120 Speaker 2: Best of luck with your fransplanted experience. 656 00:35:01,160 --> 00:35:03,760 Speaker 5: Thank you, Thank you, You're welcome. 657 00:35:03,880 --> 00:35:07,120 Speaker 2: Let me go to Claire in Brookline. Claire the last caller. 658 00:35:07,200 --> 00:35:09,160 Speaker 2: We're tight on time. You've got to be direct. You're 659 00:35:09,200 --> 00:35:11,680 Speaker 2: on with doctor Shira Deron. Go right, hey, Claire. 660 00:35:12,480 --> 00:35:15,040 Speaker 8: Thank you Dan, and thank you doctor Jerome. You've been 661 00:35:15,160 --> 00:35:18,920 Speaker 8: magnificent for the last five years on what you've been 662 00:35:18,960 --> 00:35:23,000 Speaker 8: telling us. You're so honest and so clear. I would 663 00:35:23,040 --> 00:35:25,360 Speaker 8: just want to thank you. As a retired nurse, I 664 00:35:26,040 --> 00:35:30,200 Speaker 8: greatly appreciate your communication. I hope someone didn't already ask 665 00:35:30,239 --> 00:35:33,239 Speaker 8: this program a question, but because I tuned in late. 666 00:35:33,320 --> 00:35:37,960 Speaker 8: But they're advertising a new kind of with a different 667 00:35:38,040 --> 00:35:44,600 Speaker 8: spike protein attachment for seniors from MODERNA. Do you can 668 00:35:44,640 --> 00:35:47,600 Speaker 8: you explain that one a little? Is it less it's 669 00:35:47,600 --> 00:35:51,880 Speaker 8: supposed to have less side effects? 670 00:35:52,000 --> 00:35:54,799 Speaker 5: Or I'm not really Sure's. 671 00:35:54,280 --> 00:35:56,600 Speaker 3: Let's see if doctor Deroon is familiar. If anyone's going 672 00:35:56,640 --> 00:35:58,200 Speaker 3: to be familiar with it would be here. I have 673 00:35:58,280 --> 00:35:59,800 Speaker 3: not heard of what you speak. 674 00:36:01,840 --> 00:36:02,040 Speaker 10: Yeah. 675 00:36:02,080 --> 00:36:06,680 Speaker 4: Isn't that interesting that it really came out quietly? 676 00:36:08,160 --> 00:36:08,239 Speaker 2: So? 677 00:36:08,440 --> 00:36:14,719 Speaker 4: Yeah, it is another version of Maderna's mRNA covid vaccine 678 00:36:15,880 --> 00:36:22,480 Speaker 4: and they they were able to better target that's bike 679 00:36:22,880 --> 00:36:29,320 Speaker 4: protein and use a lower dosage. It does not appear 680 00:36:29,400 --> 00:36:34,160 Speaker 4: to have a different side effect profile or less side effect, 681 00:36:35,000 --> 00:36:41,040 Speaker 4: but they have so far in clinical trials they believe 682 00:36:41,080 --> 00:36:45,480 Speaker 4: that they get a better vaccine efficacy compared to the 683 00:36:45,800 --> 00:36:50,040 Speaker 4: older version of their vaccine, especially in people who are 684 00:36:50,080 --> 00:36:53,719 Speaker 4: over the age of sixty five. So both are available, 685 00:36:53,800 --> 00:36:55,920 Speaker 4: actually both are on the market, the old version of 686 00:36:55,960 --> 00:36:59,040 Speaker 4: the Maderna vaccine, but with the new formulation that is 687 00:36:59,080 --> 00:37:04,399 Speaker 4: better matched to circulating strengths. And this new m next bike, 688 00:37:04,520 --> 00:37:06,960 Speaker 4: the next generation Mondarna COVID vaccine. 689 00:37:07,160 --> 00:37:09,160 Speaker 2: Claire, thank you, thank you for the question. We're flat 690 00:37:09,200 --> 00:37:12,799 Speaker 2: out of time. Thank you so much. Doctor Doerome, thank 691 00:37:12,840 --> 00:37:16,680 Speaker 2: you very much as well. Let's give that CDC website 692 00:37:16,680 --> 00:37:20,160 Speaker 2: that you talked about. All the various vaccines are listed 693 00:37:20,200 --> 00:37:23,799 Speaker 2: with the recommendations. It is simply if you could run 694 00:37:23,840 --> 00:37:25,000 Speaker 2: that bias one more time. 695 00:37:26,239 --> 00:37:29,359 Speaker 4: Yeah, CDC dot com. In fact, at CDC dot com 696 00:37:29,440 --> 00:37:31,680 Speaker 4: slash vaccines, but you want to search CDC dot com 697 00:37:31,880 --> 00:37:35,319 Speaker 4: adult immunization schedule by age. 698 00:37:35,239 --> 00:37:39,839 Speaker 2: So perfect, adult immunization schedule by age. Thank you very 699 00:37:39,920 --> 00:37:42,120 Speaker 2: much for doing this. It's exactly what I hoped we 700 00:37:42,160 --> 00:37:46,080 Speaker 2: would accomplish tonight. And I know that there were lots 701 00:37:46,120 --> 00:37:48,960 Speaker 2: of people who got a lot of information out of 702 00:37:49,120 --> 00:37:52,200 Speaker 2: this this hour, and thank you very much for joining 703 00:37:52,280 --> 00:37:52,720 Speaker 2: us tonight. 704 00:37:52,880 --> 00:37:55,280 Speaker 3: We'll talk again, I'm sure. 705 00:37:55,560 --> 00:37:56,359 Speaker 10: Thank you so much. 706 00:37:56,440 --> 00:37:57,960 Speaker 3: Okay, bye bye. 707 00:37:58,600 --> 00:38:03,280 Speaker 2: Shivy Derome, Professor of Medicine at Toughts University School of Medisine, 708 00:38:03,360 --> 00:38:08,040 Speaker 2: chief Infection Control officer at the tough at Tufts Medicine, 709 00:38:08,040 --> 00:38:11,040 Speaker 2: and the hospital epidemiologist, and delighted she joined us tonight. 710 00:38:11,480 --> 00:38:13,040 Speaker 2: We'll take a quick break and we'll come back and 711 00:38:13,080 --> 00:38:15,360 Speaker 2: we will change topics right after this