Historically maybe? I think these special doctor pronunciations originally came about from historical British influence in medical culture. But mostly it's just copying one's elders in order to fit in to the medical culture. Canadian-born-and-raised residents and medical students suddenly shift to these pronunciations. (Not everyone does it. When it happens, though, the transformation is slightly funny to behold, as though putting on a white coat causes it). Much of medical professional education is informally absorbing the professional culture* - indoctrination, so to speak. *ETA - while sleep deprived and ever-competing with peers for that residency spot/fellowship spot/staff position. Medical education systems can cause some weird behaviours.

Oh, medicine is full of all kinds of fancy special doctor pronunciations. It's ridiculous, really. Debride become deBREED. Centimetre becomes SAWNtimetre. CERvical vs cerVIcal, umBILicus becomes umbiLICus. EczEEma becomes ECSema, which then becomes atopic dermatitis..... 🙂

Mostly medical stuff by patients, especially drug names, which is usually fine, and not a problem as long as I can figure out what they actually mean. They say "metro-pole", I say "metoprolol?", they say "yes, that!", and we're good. More problematic is when patients pick the wrong medical word altogether when giving a history. It happens a lot. Either substituting the wrong word (ie an aneurysm is quite a different thing than an embolism, even thought they sound a little alike), or using diagnoses they don't actually have to describe symptoms, or using medical words to mean things that those particular words don't actually mean. It makes it hard to take an accurate history and can be quite dangerous. Usually I can figure out what people are trying to tell me by using context (prostate vs prostrate as an obvious example) but sometimes I really can't. I have to walk the fine line of delicately asking people what they mean in plain language when they say x,y,z medical term (because the history as they've related doesn't make medical sense) without making them feel silly or like I don't believe them or like I'm condescending etc - it's sometimes a lot harder than you'd think it should be.

DH had his first dose last week. 12 hours later had headache, chills, nausea, fatigue, and low-grade fever. Bad enough to interfere with sleep. He felt mostly better by morning, and completely back to normal the next day - about 24 hours of symptoms. (He can't fill out your poll, because he's only had his first dose. Next his dose isn't until four months after the first.)

Poor kid. Ibuprofen (Advil or Motrin) or Naproxen (Aleve) can decrease flow, and, as a bonus, decrease cramping. There are different protocols - children's hospital websites are a good place to start. Most of them advise starting at the first sign of bleeding on the first day of the period, and continuing until last day. It's a low risk and accessible (over the counter) therapy with good evidence behind it.

I saw that. They also decorated their dam with the "Caution Cable" tape. Beavers really are amazing creatures. Around here they mostly cause flooding damage. They cause amazing changes to their environments: turn a forest stream into a pond or lake, that eventually fills in with sediment and becomes a meadow. They also have super-durable teeth. They incorporate iron into their bright orange tooth enamel. Their teeth literally "wear like iron". They can chew through just about anything.

No advice. One of my family sold their house at a garage sale: they had a garage sale/moving sale before they put the house up for sale. Got to talking, and one of the garage sale attendees expressed interest in buying the house, put in a offer, and that was that. ETA: all the lawyer stuff got done properly later, but basically they sold their house at their garage sale. The ultimate sale-by-owner.

Agree. When I posted upthread, I was thinking of the LoTR movies. The Hobbit movies were terrible.

So I've skimmed the papers I linked to above. It looks like the longest studies end at 8 weeks, and show good immunity. Ontario moved to extended dosing intervals (16 weeks) on March 10. So real-world data beyond 8 weeks from my province doesn't exist just yet, but will very soon (those due for second shots March 10 got extended, that's those who had their first dose Feb 17 or later; they are just beyond 9 weeks post-first dose right now). Anecdotally, we're (personally and colleagues) not seeing covid cases in folks who've been vaxxed even with just one dose. And we're seeing an awful lot of covid. I actually feel pretty good about the extended dosing scheme. It's the only real choice here, really, given that our vaccines are in such short supply.

Provincial paper summarizing the evidence. It's a month old, though. I haven't had time to go through it either.

This Government of Canada site has a section on the evidence for extending dose intervals, with a subsection on duration of immunity following a first dose, with references to studies. I haven't had time to go through it yet.

Re the bolded, agreed. We might sometimes sing "chip the glasses and crack the plates" while we are cleaning up the kitchen.

@Plumbeat me to it! Yes, that's the one. It's so lovely.

You don't have to read The Hobbit first; the LoTR will still make sense if you don't. But LoTR will be much richer and better if you do read The Hobbit first. The Hobbit is the easiest and most readable of the books too. It's quite fun. Our favourite edition of The Hobbit is the one illustrated by Jemima Catlin. There is an illustration on almost every page, and they are all very detailed and meticulously accurate with respect to the text (the dwarves all have the correct colored cloaks etc) Yes, you have to read all of the LoTR books, and read them in order - it's one continuous story. Well, of course, you don't have to do anything, but I would definitely recommend reading them all. My kids loved these on audio. They actually prefer Kara Shallenberg's recording of her reading them to her kids. The movies are worth watching, but they did go quite far "off-book". Some of the changes we liked, and some we really, really didn't. We made a school assignment out of comparing movie Eowyn with book Eowyn , from a feminist perspective.

I really don't. Good enough that they aren't even offering HCW a second dose before 4 months. I've been pretty distracted by this disaster of a third wave.

Second doses are being given at 4 months here (with very limited exceptions). We'll have a sample size of millions.

True enough. Maybe even me. One kid thinks he might like to go to high-school, the other wants to school at home forever and ever...... We'll see.

My kids are 11 and 13. No where near close to done, though. We're still very much in the thick of it, I think. I mean, you'd have to be finished 6th grade to be even halfway to 12th, right? 🙂

I think that this is exactly where this is going to go.

I did look at both of those. One seems to outline the governments powers to override rules and standards in various different sectors (basically setting themselves up to be able to make the regulation published April 21), and the other activates the ability of healthcare institutions to move workers around between facilities and to ignore work contracts with respect to things like shift times, vacations etc. Nothing to do with scope of practice, as far as I can tell. We filled out the how-far -will-you-push-your-scope of practice surveys last spring. I really do think it's going to come to that for some of us. Surgeons and anethesiologists are under-used right now (OR's shut down for all but emergency surgery). I think they are going to find themselves asked to do other work. I know some are working vaccine clinics - but that's not really the best use of their skills. OR nursing staff are all over the hospital in alternate assignments already.

That's what's actually happening on the ground where I am (that I'm seeing IRL), so far at least. ETA: that fact that a regulation like this could go into effect without any announcement or news reporting is really amazing to me. Not in a good way.

I think we are officially in crisis standards. The province quietly enacted this regulation April 21. The gist of it is that a hospital can now assign any health professional to do the job of any other health professional despite any statute, regulation, order, policy, agreement or collective agreement, regulatory college policy, practice standard or guideline, so long as it is necessary in order to respond to the pandemic. So a nurse can be assigned doctor duties. Or a doctor can be assigned nurse duties. Or a PSW assigned RN duties. Or any number of health care professionals doing the jobs of other regulated health care professionals without the usual training or meeting the usual standards. This was not announced (anywhere that I can find, at least), and hasn't been in the news. This is a very serious thing. Bleak. Dire. Pick your adjective. WTM peeps who read legalese, please tell me if I'm wrong here. But I don't think I am.

The third wave here is stressing health care resources to the max. The good news: Daily case counts seem to have plateaued in the last week or so The lower age limit for AZ vaccine was lowered to 40, and I was able to score a dose for DH! I'm so grateful to have him vaxxed. The bad news: ICU admissions and hospital admissions are climbing and not likely to stop for at least another 2 weeks. We are at 833 ICU admits province-wide (peak of 410 last wave) ICUs in the Greater Toronto Area are full, and have been for weeks. They've been shipping further and further afield. Transfers are at an all-time high (800+ so far in April, with 2nd wave monthly numbers in the 200's for March, Feb, and Jan, for comparison.) Transfers do not require consent, as per emergency order. My local hospital has taken more than 60 transfers from the GTA in the past 2 weeks. We've filled three wards, filled our ICU and now rapidly filling the make-shift, improvised second ICU. We've got a ward in a tent in the parking lot. All non-essential/non-emergent surgery cancelled, province-wide, to create capacity. Lower acuity "alternate level of care" hospital patient are being transferred to nursing homes, consent not required, as per emergency order. Staff are being moved all over the place to fill gaps. Community and homecare nurses are being pulled into hospitals, many hospital staff are being pushed up an acuity level. While no-one is being placed anywhere were they aren't technically competent on paper, lots and lots of staff are outside their comfort-zone with their new assignments. This on top of a year's worth of pandemic burnout. The provincial coroner has reported 25 deaths at home from covid since April 1, in people who didn't seek medical care. These were covid cases that deteriorated suddenly and died, found dead by roommates or family. Many were young. Percent fully vaxxed in the province remains at just over 2%. Percent with a first dose has increased to 28%. The problem remains supply. We have the infrastructure to mass vaccinate, but we don't have the vaccines on hand to do it. (The mood regarding the US export ban is somewhat sour right now. The news today that the recent AZ shipment from the US was manufactured at the Emergent plant isn't helping, even though the particular doses we got are officially just fine; there is public doubt. Too late anyway, they are mostly already in arms. One of those arms belongs to my DH.) We are still vaxxing 60+ and those with high risk medical conditions. AZ for 40+ at select pharrmacies, though those doses are pretty much all "sold out" - there was a massive rush Monday when the age limit was lowered and now the wait-lists are a mile long, with no more supply on the horizon. I think we've got about four more weeks of this. Our stay-at-home order is due to expire May 20. I hope it give us enough time.

Covid symptoms are absolute contraindication. That would include most cold symptoms.

My only beekeeping story is of treating a beekeeper for severe anaphylaxis to bee stings. She was advised that she might want to consider a new hobby.