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User Info	Here It Comes; entered at 2021-07-24 21:39:09
Kareninca Posts: 681 Registered: 2011-08-23	This was just posted at Naked Capitalism by a long-time poster who is an MD (I've abbreviated it): IM Doc July 24, 2021 at 8:18 am About the French Guyana paper from the CDC I have repeatedly stated that I am seeing much much more vaccinated positives than one would ever have expected. As I have stated, they seem to be much sicker (though not critically so) and they tend to happen in clusters. For the past two months, this has stuck out from the dominant media narrative. I have never had to fight the cognitive dissonance between the media and my own eyeballs in my life. I belong to a large non-public alumni group of my residency program that has literally thousands of IM docs all over America. The first thing a scientist does is to confirm that your observations are general or something you are just seeing. It was quickly obvious from that group that I was far from alone despite the minimal breakthrough cases media narrative. So, then you do everything you can to hypothesize reasons why you are seeing what you are. I have been a physician for 30 years and that experience plays a huge role as well. Having this gigantic number of breakthrough cases just simply does not happen. I continue to see more than half the cases in vaccinated patients and so do many others. UNHEARD OF IN VACCINES BEFORE NOW. Part of hypothesizing why is looking to the literature for evidence. Seldom is this found in RCT at this stage. Case reports and series like this paper are critical. They are seeing the same breakthrough ratio. And they have done a lot more viral research than you can. This is a gold mine for my own questions. Is there anything in the paper that could possibly explain what I am seeing. Lots of times, it is not in the headline part but in all the test results and discussion. And yes, there is a very important finding deep in the results. Why would clustering and sicker patients be so much more common in the breakthrough patients there must be a reason for that? If you look at the brief discussion of cT or cycle threshold you will see that the vaccinated patients have a SIGNIFICANTLY lower cT than the unvaccinated. That is the way the PCR test works. It basically means the vaccinated have a much higher amount of viral active particles than the unvaccinated. That would account for the breakthroughs I and my colleagues are seeing being a bit more ill. And it would explain the clustering. THe vaccinated breakthroughs have much higher viral load so they are much more contagious and the higher viral load makes them more symptomatic. So we now have a suggestion and strong evidence that the vaccinated population may be spreading much more virus than the unvaccinated. I would say that is a critical public health issue and must be further researched immediately. This Certainly needs much more work. THis is not confirmatory of any conclusions. But it is consistent with observation on the ground unlike most of what the media has been spewing to the American people. But this is how science works. This paper is about the gamma variant but a conference yesterday with experts discussed that similar findings were being found in delta and lambda. The suggestion in this paper is now on the front of my mind. I am even now thinking of ways to confirm or falsify these conclusions going forward. This is science. Another issue. The writers make the point that the breakthrough rate is extremely divergent from the expected rate. The difference is this paper documents what is happening in REAL LIFE. So much of what we are hearing on our media about vaccine efficacy is research being done in vitro. It is presented as gospel truth. I just want to scream. This is the paper he or she is referring to: https://wwwnc.cdc.gov/eid/404.html?aspxe.... If he or she is reading this right, I wonder how long this can be kept from public attention. 2021-07-24 21:39:09