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Heart to heart talk

Warning: medical stuff ahead.

Adverse reactions to the covid vaccines are required to be reported. That’s one of the side effects of its having emergency approval, and I’m guessing possibly a contributing factor to why they’re still provisional.

From what the cardiologist said today, mine clearly was. As it should be.

He came with the latest studies on why a booster shot might be needed, telling me that the Pfizer is 95% effective when it’s given, which is phenomenal for a vaccine, but for people who got it back in January, in the face of the variants that have emerged since, it’s now 39% effective. April means I’d be at 65% now, according to the ongoing testing coming out of Israel, which has been serious about studying this disease. (While I thought, that explains Lindsey Graham, who is both older and got his in December.) Note though that the long-vaccinated are still almost universally protected from dying of covid or even serious illness so far.

The good doctor made it clear he wants the FDA to get to work and fully approve the shots now so that it can get on with approving doing those boosters, which for now one cannot get.

He was also clearly feeling me out to see if I would want one, and the answer was, autoimmune flare or no, emphatically yes. And yes it was a pretty serious flare in reaction to the second shot but it petered out fairly quickly. It was nothing like how extremely, life-threateningly sick I was in February 2020.

That was the answer he was clearly hoping for. He wouldn’t have to worry about me, then. (Note that there were two old women in his waiting room who were wearing their required masks under their noses. While waiting to see a doctor for their hearts. It’s a struggle.)

And then.

With all the hard work of moving heavy stuff for the termite guys, I confessed to episodes of sudden shortness of breath and almost passing out a few times and being forced to sit down fast. It resolved so quickly that he would have dismissed it as not being cardiac related.

And yet I do have a history of cardiac involvement. Virtually all lupus patients eventually do. I’m sure I freaked out the termite guys with one, just one cardiac cough while they were working–they had no way to know it was just a reflex.

He looked at the chart: precisely ten years since the last echocardiogram and stress test. Time to do it again, just to be sure.

I said, what if I’m fine and it’s a waste of time because it shows nothing?

He looked at me and didn’t quite laugh out loud and said, Then we’ll be glad!

Well okay then.

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