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phobosanomaly

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phobosanomaly
·há 2 anos·discuss
I recently worked as a physician in a Labor and Delivery unit at a county hospital where there is an extremely high rate of methamphetamine and fentanyl use among patients, I would like to provide a counter-point that I have never heard of anything like this happening. Even in patients who are admitted actively withdrawing from fentanyl we go out of our way to treat them with dignity and respect. Social work will be consulted following delivery, but I have never seen police get involved, and there will never be physicians and nurses present during CPS' discussion with parents.

Again, just from what I have seen at county where substance use is a pretty banal, common occurrence and CPS often placed children in foster care straight from the newborn nursery.

I'm sorry that you had such a negative experience. Maybe it was at a hospital that doesn't deal with substance use issues much?
phobosanomaly
·há 3 anos·discuss
Mucosa has vascular supply.

Naumova EA, Dierkes T, Sprang J, Arnold WH. The oral mucosal surface and blood vessels. Head Face Med. 2013 Mar 12;9:8. doi: 10.1186/1746-160X-9-8. PMID: 23497446; PMCID: PMC3639856.

It also has antibodies (humoral immune response).

Immunoglobulin A (IgA) is the most abundant antibody isotype in the mucosal immune system.

Li Y, Jin L, Chen T. The Effects of Secretory IgA in the Mucosal Immune System. Biomed Res Int. 2020 Jan 3;2020:2032057. doi: 10.1155/2020/2032057. PMID: 31998782; PMCID: PMC6970489.

And the vaccine triggers the development of those antibodies.

We evaluated the serum anti-spike (anti-S) IgG, anti-nucleocapsid (anti-N) IgG and anti-S IgA response following vaccination against SARS-CoV-2 in a cohort of first-responders. Among the 378 completely vaccinated participants, 98% were positive for anti-S IgG and 96% were positive for anti-S IgA.

Montague, B.T., Wipperman, M.F., Chio, E. et al. Elevated serum IgA following vaccination against SARS-CoV-2 in a cohort of high-risk first responders. Sci Rep 12, 14932 (2022). https://doi.org/10.1038/s41598-022-19095-7
phobosanomaly
·há 6 anos·discuss
Definitely appreciate your contribution to the discussion.

Just a suggestion.

Maybe consider reducing the number of links, and posting the citation adjacent so we can see the title of the paper, and what journal it was published in before clicking. A brief tl;dr from the abstract would be magnificent as well.

Otherwise I'm just sort of taking on faith that whatever you posted will be worth the time to click on, and there's like 7 links there, so I'm just not gonna.