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Sure, don't trust the advice of any one doctor; that's alright. With vaccines though, you're deciding not to trust the advice of pretty much every doctor.

by sanoli 13y ago

pmorici 13y ago
I'm not really talking about vaccines in particular but even those aren't as cut and dry as you imply. Take a look at the common MMR vaccine. In 2005 they introduced MMRV which is the traditional MMR plus the addition of a chickenpox vaccine. The WHO recommends MMRV but US health officials don't express a preference one way or another. The side effects of each are different. So clearly there is some ambiguity there. If a doctor recommended one over the other I would want to know what his reasoning was before taking his word for it.
- Fomite 13y ago
  That's not really a sign of ambiguity. Vaccination for varicella is tricky - if you're going to vaccinate against it, you need to vaccinate hard. It's a great working example of what's known as the "Paradox of Moderate Infection Control" - getting a handle on it just a little bit will cause worse outcomes than if you did nothing at all. The WHO then, making recommendations for the entire world, logically favors a single "Do it and be done" shot that piggybacks on their incredibly intensive campaigns for MMR vaccination. In the U.S., a varicella vaccine is a co-occuring part of the recommended vaccine schedule. It's a question of one shot or two, and managing slightly worse side effects for the MMRV vaccine, and thus absolutely sensical to leave it to the clinician and parent to discuss, because the likelihood of the child getting one and never getting the other is quite low, it's just a question of how.
  - pmorici 13y ago
    It sounds like you are agreeing with me. Because like you said you would want to discuss it with your doctor before making a decision.
    - Fomite 13y ago
      I disagree with that representing ambiguity, rather than a perfectly reasonable set of treatment guidelines for different settings. It's also a conversation that's pretty orthogonal to most anti-vaccine discussions, so it feels like a bit of a red herring.
deleted 13y ago
[deleted]

Sure, don't trust the advice of any one doctor; that's alright. With vaccines though, you're deciding not to trust the advice of pretty much every doctor.

by sanoli 13y ago

Sure, don't trust the advice of any one doctor; that's alright. With vaccines though, you're deciding not to trust the advice of pretty much every doctor.

pmorici 13y ago

I'm not really talking about vaccines in particular but even those aren't as cut and dry as you imply. Take a look at the common MMR vaccine. In 2005 they introduced MMRV which is the traditional MMR plus the addition of a chickenpox vaccine. The WHO recommends MMRV but US health officials don't express a preference one way or another. The side effects of each are different. So clearly there is some ambiguity there. If a doctor recommended one over the other I would want to know what his reasoning was before taking his word for it.

Fomite 13y ago
That's not really a sign of ambiguity. Vaccination for varicella is tricky - if you're going to vaccinate against it, you need to vaccinate hard. It's a great working example of what's known as the "Paradox of Moderate Infection Control" - getting a handle on it just a little bit will cause worse outcomes than if you did nothing at all. The WHO then, making recommendations for the entire world, logically favors a single "Do it and be done" shot that piggybacks on their incredibly intensive campaigns for MMR vaccination. In the U.S., a varicella vaccine is a co-occuring part of the recommended vaccine schedule. It's a question of one shot or two, and managing slightly worse side effects for the MMRV vaccine, and thus absolutely sensical to leave it to the clinician and parent to discuss, because the likelihood of the child getting one and never getting the other is quite low, it's just a question of how.
- pmorici 13y ago
  It sounds like you are agreeing with me. Because like you said you would want to discuss it with your doctor before making a decision.
  - Fomite 13y ago
    I disagree with that representing ambiguity, rather than a perfectly reasonable set of treatment guidelines for different settings. It's also a conversation that's pretty orthogonal to most anti-vaccine discussions, so it feels like a bit of a red herring.

deleted 13y ago

[deleted]