Infection Prevention RN

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Infection Prevention RN

Infection Prevention RN

@RnInfection

Infection prevention USA based x 42 years. MM personal interest. Views and opinions my own. @[email protected]

Katılım Temmuz 2011
499 Takip Edilen558 Takipçiler
Infection Prevention RN
Infection Prevention RN@RnInfection·
@MattDevittWX @PaulMSmithphoto Matt, you are the class act meteorologist throughout all of FL. You don't need to lower yourself to respond to this wanker, as he's trying to get a reaction from you. You know who you are and how many lives you have saved through those killer storms. Block him!
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Matt Devitt
Matt Devitt@MattDevittWX·
I posted *one* meteor because that’s the subject of the post. NASA literally put (multiple) meteors in their background with “Meteor Sighting Michigan” in bold. My post is relaying information just like they did….just combing all of them. You were out of line to label me a clickbait meteorologist. Show some class next time.
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Matt Devitt
Matt Devitt@MattDevittWX·
Rude, unprofessional and unprovoked response Paul. So are these posts from NASA feeding into the psychosis too? I simply just combined all their observations over the past 3 weeks. Congrats on being a jerk. 👍🏻
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Paul M Smith@PaulMSmithphoto

@MattDevittWX Oh look, another clickbait meteorologist when the weather is quiet. Way to feed into the psychosis for clicks, Matt

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Envidreamz
Envidreamz@envidreamz·
@RnInfection @pocketcelery Oh yes your close by. I went to Florida last August. Whew the Covid was thick. People coughing everywhere
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Envidreamz
Envidreamz@envidreamz·
We are the majority of Long Covid sufferers. Our own families live in our households and refuse to mask so we keep getting sick anyway. Masking alone is not enough anymore. We need real solutions. We deserve them. Nobody deserves to suffer. I am still waiting on that universal vaccine. It is the only way to be truly Covid safe without allowing millions to die.
cholodoomer 🍉@cholodoomer

Hypothesis: a disproportionate number of COVID-aware people are the black sheep of their families.

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Infection Prevention RN
Infection Prevention RN@RnInfection·
@CaroSmiff @Biff234523 I am an infection preventionist and I work in the dental space with processes to keep staff and patients safe. Not sure what you are asking re: “treatments” as it relates to dentistry.
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Carolyn Smith
Carolyn Smith@CaroSmiff·
@Biff234523 We have dentist appointments this week. Suggestions on what’s most important for interventions and treatments?
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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
The Covid / infectious disease conversation is so boring today, and lately. Don’t folks ever get tired of only talking about “Covid is still here!” and mask-wearing discourse instead of technical discussion about the science behind the dozens of prophylactic interventions and treatments at our disposal? I realize I’m not really any better sitting here subtweeting the discussion. It was a sort of busy weekend, though. I’ll try to focus on some high-quality threads in the coming week, because it’s just a waste of time for me to be endlessly scrolling much of this current discourse. Are there any topics that anyone happens to want to see covered? Also, the OFABT team is going to be working on putting together a presentation and some graphics on the Nuvaxovid platform. It’s being produced for industry partners, but hopefully it’s something everyone finds useful that might also be able to help convey Novavax’s advantages to the general population.
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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
Yes, it’s always a possibility, but with Novavax, there’s a much greater chance of it improving someone’s LC symptoms (since it can help to fight persistence) than causing worsening. We’ve been successfully using it in combo treatments along with antivirals and mAbs for years, and many people see significant improvement just with Novavax doses alone. In contrast, with mRNA, we understand the relevant mechanisms that sometimes cause LC-adjacent harm (post-vaccine syndrome), and Novavax does not share those mechanisms. We’re talking about things like aggregation of intracellular spike complexes, CXCL10 and IFN-γ, persistence of mRNA itself, etc. There are a dozen mechanisms I could go through, but they’re all unique to mRNA. Lumping vaccines together for this purpose isn’t something that can be done, just like it can’t be done for an analysis on their effectiveness against infection. Yes, everyone still needs to asses their own risk, and every vaccine is a medical procedure that comes with risk, but there is no blanket concern with respect to Novavax causing a worsening of Long Covid.
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Neurologist Mom
Neurologist Mom@NeurologistMom·
People with Long Covid may be more prone to developing side effects from COVID vaccines. In some cases, this may present as longvax on top of their Long Covid. This needs to be studied to better understand it and avoid causing further harm to people with LC.
Holly Mars@HollyMars2

Last Wednesday at 7:30pm I got Novovax for the first time. I felt fine immediately following. But starting Thursday I had severe headaches and a feeling like I couldn’t think. It’s like dementia. The headaches are gone but now my brain no longer works. How long does this last?

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Infection Prevention RN
Infection Prevention RN@RnInfection·
@_CatintheHat @JudyandHuahua Meningococcal orgs are large in size & spread via droplets with prolonged close contact/exposure being the biggest risk. I nursed meningococcal pts ICU in the early 80’s and none of us got sick. We had surgical or procedure masks only. As a hospital IP we never recommended FFPs.
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Cat in the Hat 🐈‍⬛ 🎩 🇬🇧
It worries me to see these students & the healthcare workers administering the MenB vaccine wearing surgical masks, instead of FFP masks. Surgical masks are better than nothing, but if there’s a possibility of AIRBORNE transmission, then they really should be given FFP masks.
Department of Health and Social Care@DHSCgovuk

Our targeted vaccination programme is underway in response to the meningitis outbreak in Kent. Eligible students will have received an invite. Hear from those who took up the offer straight away 👇 More info on the outbreak: ukhsa.blog.gov.uk/2026/03/18/men…

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Infection Prevention RN
Infection Prevention RN@RnInfection·
@MyelomaTeacher Awesome video Cindy (as always). My specialist does ClonoSEQ and insurance covered it (before I was on Medicare) despite my smoldering status. Not sure if Medicare would cover it, but am not due for a BMB any time soon due to stable labs. 🙏🏻
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Coco
Coco@cocomarvgrows·
I don’t regret or resent a single, solitary airborne precaution I’ve taken in 6 years. Not for a second. 😷
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Infection Prevention RN
Infection Prevention RN@RnInfection·
@Biff234523 @jamesrx1 @DonEford You choose NoriZite, I thought your #1 choice is the NV product with Betadine that is available again. I would really appreciate you recommending the best product for a person like myself that is immunocompromised with a very low IgA as I was using ePothex, but you nixed that. Ty
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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
The same idea as iota-carrageenan, but not really better in any way. Both act as gel barriers, but carrageenan - has been around for decades (more robust data - both safety and efficacy) - is cheaper - is more negatively charged, which attracts and binds virions more efficiently. In contrast, Profi is more of a mechanical barrier only Profi (gellan gum and pectin) might have slightly better mucoadhesion than just carrageenan, but that’s not really something that can easily be proved. They’re probably very similar. But that’s also why I use NoriZite as my chosen brand, it has both iota-carrageenan and the same gellan gum as Profi. More expensive, though, with international shipping, so that does take away point #2
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Don Ford - The People's Strategist -
The people in the COVID-conscious community who use nasal sprays post a lot less about their acute COVID infections. Just sayin'.
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Infection Prevention RN
Infection Prevention RN@RnInfection·
@Biff234523 What is the issue with ePothex as I have used that before high risk exposures. curious why you no longer recommend it. Also, how often each day do you recommend the NV Betadine spray? I want to order it, but it is advertised more as a post exposure use. Please advise. Thank you.
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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
A reminder on why you want to be using a nasal spray for COVID prophylaxis, in conjunction with other layered mitigations (eg. N95 masking, boosting with Nuvaxovid, and supporting your innate immune system): x.com/biff234523/sta…
Biff #SARSisAirborne 🍉@Biff234523

100%. For more context, the way that all infections transmitted through the respiratory route work (including COVID) is that they spend a couple of days replicating in the Upper Respiratory Tract (nose and throat) until there are high enough numbers to overwhelm all of the body’s defenses (including the systemic immunity created by vaccines elsewhere in the body). At that point, it creates a full-blown infection that translocates to the lower respiratory tract, the brain, the various reservoirs around the body that cause long covid persistence, etc. That should be a basic enough concept, but many truly still don’t understand that. And if you do, not trying to be patronizing, but there are an entire group of influencers in the COVID space dedicated to pumping out propaganda that confuses people to the point that they forget these basic principles of biology, or never bother to learn them in the first place. The immune response in those mucosal areas is much more blunted compared with the rest of the body. For example, you don’t have to worry about breathing in a few virions straight into your lungs, Novavax’s protection will pretty much always be durable enough to take care of that. In the upper respiratory tract, Novavax and Matrix-M does represent the best mucosal protection that we’ve ever managed to achieve from a vaccine, but it’s still not enough to fully block all infection, although it often does at lower doses. With that basic understanding, it becomes pretty obvious that nasal sprays can and should be an integral part of any layered defense strategy against COVID. If you inactivate a virus, stop cell binding, and/or stop replication in the URT, you can stop infections from progressing. The mechanism of action is plenty sound. Influencers will often complain about the lack of randomized clinical trials in the space, but if you take more then 2 seconds to think about it, how would those be expected to happen when you can produce most of these nasal sprays for dirt cheap? Where are they going to be getting the funding needed to accomplish those studies? That said, we do still have some. There is real-world evidence in support of 3 sprays in particular: Iota-carrageenan, Nitric oxide, and Azelastine I can get into a lot more specifics about the different ingredients and brands available (or just dig up some of my posts), just let me know if there’s anything you’d like to know in that regard, but that’s the basic premise

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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
PSA: NorthernVitality.us has removed tariffs on shipments to the US, and Betadine iota-carrageenan nasal spray is now back in stock. They have also re-introduced free shipping, so the spray is back to $20 per bottle (previously, it was $35) NV sells both Betadine and Salinex, which are identical formulations containing 1.2mg/mL of Carragelose branded carrageenan. They are both good products (ie. reputable, and something that I’d recommend sooner than many other formulations of nasal sprays (eg. Xylitol, Profi, Covixyl, etc)) but remember that they are both still base-level formulations. In comparison: • Flo Travel (Australia, but available on US Amazon) has a higher carragelose concentration at 1.6mg/mL • Algovir (Germany - US shipping available) has 1.2mg/mL of iota-carrageenan along with 0.4mg/mL of kappa-carrageenan, which creates more brittle gels than iota- does. Might be more beneficial as a barrier, but probably has less residence time than iota- • LUCA V-Defense (US Amazon) uses an undisclosed concentration of lambda carrageenan, which does not form gels in the way that iota- and kappa- do. All carrageenan is still mucoadhesive, but the lack of gelling probably significantly decreases resistance time (but maybe with the benefit of better initial coverage?) • NoriZite (UK - US shipping available) does not use carragelose, and doesn’t disclose concentration, but contains gellan gum for a much more viscous formula, still making it my personal choice And, again, stop buying ePothex and Nasitrol. Neither of them are partnered with Carragelose, disclose concentrations, or contain any thickeners. There are zero benefits now that Betadine/Salinex are back down to an equivalent price.
Biff #SARSisAirborne 🍉 tweet media
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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
For anyone planning on a spring Nuvaxovid booster in the DMV area, White Flint Family Pharmacy in Maryland will be restocking soon⬇️ Availability is generally not that sparse (eg. most CVS locations have maintained stock), but it’s nice to see the same from independent pharmacies this late in the season. Let them know that it’s appreciated and that their efforts are worth it. And I’m making no specific claims about the ownership or management of White Flint Pharmacy here, but developing and maintaining these types of relationships are also something that we need to think about as a community to facilitate off-label pediatric use.
tt hiking (she/her)@tthiking

@Biff234523 called white flint pharmacy in Kensington maryland today. they expect next shipment of novavax vaccine next week (week of 3/23)

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Sarah
Sarah@SarahSconnie·
@RonFilipkowski Really wish I could get press credentials and be the reporter that finally asks this…it would’ve been the perfect moment to do so when Trump made these comments today, but I’m certain there will be more opportunities daily while he’s still in office @itsJeffTiedrich
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Infection Prevention RN
Infection Prevention RN@RnInfection·
@Biff234523 Thank goodness for your voice of reason! You have helped so many people and we thank you for that. I continue to use my product with iota carrageenan in high risk situations and Bona Fide KN95 masks too.
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Biff #SARSisAirborne 🍉
Biff #SARSisAirborne 🍉@Biff234523·
Some of y’all are deeply unserious… Personally, I’m very much on the “live your life” side of the COVID conscious spectrum. I think we should all be prepared by taking multi-layered precautions, but if you’re following the correct science-backed protocols, you should also be able to have plenty of fun without being afraid. But even this is a bit much for me. Why are we celebrating having an “Old Hollywood Glamour party” when we’re smack dab in the middle of a transmission wave and our government is gunning down dozens of innocent civilians? It really couldn’t wait a couple more weeks or months for a decline in transmission? Above all else, it’s good to remember that isolation is still the only sure-fire method we have to avoiding pathogens. And if you’re going to have it anyway, you’re really not going to read the room and just pretend that a civil war isn’t unfolding outside by gloating about it online? It all seems a bit off to me.
Biff #SARSisAirborne 🍉 tweet media
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Verizon News
Verizon News@VerizonNews·
Today, we let many of our customers down and for that, we are truly sorry. They expect more from us. We are working non-stop and making progress. Our teams will continue to work through the night until service is restored for all impacted customers. We will make this right - for any customer affected, we will provide account credits and share updates soon.
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Infection Prevention RN
Infection Prevention RN@RnInfection·
@smartchick_22 @schellza34 @VerizonNews Smartchick is T-mobile reliable in areas that Verizon is iffy? My kids live in an area in the Hudson Valley NY that does not get great service with Verizon and I have wanted to change to T-Mobile for a long time, but I had T-Mobile over 20 years ago and it sucked.
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Em Cy
Em Cy@smartchick_22·
@schellza34 @VerizonNews T-Mobile 100% I'm in the industry and know the networks. T-Mobile has the best network .
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IdaDevil36
IdaDevil36@ReginaL36S·
@VerizonNews Why is no there no email to your customers directly about this outage??? You sent the bills but absolutely nothing about this issue.
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Infection Prevention RN
Infection Prevention RN@RnInfection·
@VerizonNews Really? This is all you can offer as an explanation. Why not just come out with the truth because you know the media is going to get their hands on the real reason this happened.
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Verizon News
Verizon News@VerizonNews·
Verizon's team is on the ground actively working to fix today’s service issue that is impacting some customers. We know this is a huge inconvenience, and our top priority is to get you back online and connected as fast as possible. We appreciate your patience while we work to resolve this issue.
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