Coastal Complete Direct Primary Care

09/04/2024

04/21/2023

Tomorrow is DEA Take back day
This is an opportunity to dispose of unwanted, unused medications on Saturday, April 22, 2023, from 10am-2pm, and they can go to https://www.dea.gov/takebackday -locator to find a location near their home.
https://www.dea.gov/takebackday

The drug overdose epidemic in the United States is a clear and present public health, public safety, and national security threat. DEA’s National Prescription Drug Take Back Day reflects DEA’s commitment to Americans’ safety and health, encouraging the public to remove unneeded medications fro...

01/05/2022

Today is the one year anniversary of our practice opening. Thank you to all the patients who trusted me and joined me in the new venture. Here’s to good health in 2022!!
Thank you from Jacqueline Miller Kolesnik and me.

12/24/2021

Happy Holodays from Dr. Baker and Jacqueline! (And Sunnie too!)

10/07/2021

Please get a flu shot!

09/10/2021

This lovely lady is 100 years old! Happy Birthday to a one of a kind Mrs. Rua King!

08/10/2021

Q: I had alpha COVID. I should be immune to delta right?

A: There are studies that show robust immunity 6-12 months after infection, with a natural waning of that immunity (as expected). The attached JAMA article shows this. But, the immunity varies based on the variant.

The CDC recommends vaccination after infection (a state referred to a hybrid immunity-natural plus vaccine)

"Unvaccinated health care workers appeared to have less protection against the delta and beta variants compared with alpha about a year after they recovered from mild COVID-19. While 88% of this group had neutralizing antibodies against alpha, only 47% neutralized delta."

the article shows a 50 FOLD INCREASE IN IMMUNITY for delta with one booster immunization.

TAKE HOME MESSAGE:
If you previously had COVID 19 Alpha, it would be prudent to get a booster vaccine for Delta.

This Medical News article discusses the duration of immunity after SARS-CoV-2 infection.

07/29/2021

Q: I had Alpha Covid-19. Do I need a vaccine for Delta variant?

A: the Cleveland Clinic did a study of employees and the preprint is available below. It suggests that natural immunity is similar to vaccine immunity. At this time there are mixed recommendations:
-no shot needed
-one shot as a ‘booster’
-full vaccine series

There is no clear guidance on this issue. From a practical standpoint a vaccine would be reasonable if your immune system is impaired or you live with someone who would have a rough time if infected.

We are seeing vaccinated individuals that are sick. I admitted one to the hospital last week. About 10% of the folks admitted with Covid locally have been vaccinated

Pfizer recommends a booster to those age 18 and older. This is from the company- it CDC or FDA at this time.

I know we are all tired of this. But this bug is still here and the hospitals are full.

Hang in there y’all.

https://www.medrxiv.org/content/10.1101/2021.06.01.21258176v

Background The purpose of this study was to evaluate the necessity of COVID-19 vaccination in persons previously infected with SARS-CoV-2. Methods Employees of the Cleveland Clinic Health System working in Ohio on Dec 16, 2020, the day COVID-19 vaccination was started, were included. Any subject who...