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Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

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Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#21

Post by chimeracoder »

hermannj314 wrote: post #17
0cf8612b2e1e wrote: post #4

Earlier quoted context omitted.

Annoyed at how the guidance has changed on this over the years. At first it was just a narrow slice of 20 something women. Then girl teenagers. Then men and women under 30. Then under 40. If it has an association with preventing cancers, not sure why they were so reluctant to immediately open up the patient pool.

I am not sure why all the replies are indicating you are anti-science or anti-vax. It is annoying to be told something from your doctor, internalize it, have your doctor suggest flu and covid vaccine for years but never HPV, and then be told on HackerNews "you should have the HPV" and now I am supposed to tell my doctor I can do his job better than him because I read something on the internet even though most doctors…

> I think their Epic Health computer system that needs me to confirm my date of birth every 6 weeks can find some time to suggest the HPV vaccine if it is so damn medically necessary.

You're assuming that the purpose of the EHR (Epic) is to implement public health recommendations or to establish minimum standards of care. That's a reasonable assumption for someone who doesn't work in the field, but unfortunately it's incorrect: neither of those are top-level goals for EHRs.

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#22

Post by woleium »

razepan wrote: post #5
0cf8612b2e1e wrote: post #4

Earlier quoted context omitted.

Annoyed at how the guidance has changed on this over the years. At first it was just a narrow slice of 20 something women. Then girl teenagers. Then men and women under 30. Then under 40. If it has an association with preventing cancers, not sure why they were so reluctant to immediately open up the patient pool.

This is how science works. Our understanding of a medication's efficacy evolves over time.

also availability.

i recall the most effective way to distribute the covid vaccine would have been concentric circles from a central point. Obviously that was never going to happen.

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#23

Post by pitpatagain »

yjftsjthsd-h wrote: post #18
sitkack wrote: post #2

PSA, everyone should be getting the HPV vaccine, regardless of age and gender. https://en.wikipedia.org/wiki/HPV_vaccine https://www.mdanderson.org/publications/focused-on-health/wh... https://www.cdc.gov/cancer/hpv/oropharyngeal-cancer.html

What if I'm monogamous?

Obviously then your risks are lower, but even then not zero. A dear friend of mine went through stage 4 HPV related cancer after a long "monogamous" marriage. It turned out that it wasn't actually monogamous on the part of her (now ex) husband.

It's excessive to say literally everyone should get the vaccine: if you are especially low risk and don't want to bother, sure. But it's a very easy, safe vaccine. Most people engaging in some average amount of life-time serial monogamy (or with a partner who engaged in serial monogamy) would be better off just getting the vaccine than spending any mental energy on trying to figure out exactly the degree to which they need it.

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#24

Post by amanaplanacanal »

sitkack wrote: post #2

PSA, everyone should be getting the HPV vaccine, regardless of age and gender. https://en.wikipedia.org/wiki/HPV_vaccine https://www.mdanderson.org/publications/focused-on-health/wh... https://www.cdc.gov/cancer/hpv/oropharyngeal-cancer.html

The CDC is still not recommending the vaccine for people over 45.

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#25

Post by robotnikman »

sitkack wrote: post #2

PSA, everyone should be getting the HPV vaccine, regardless of age and gender. https://en.wikipedia.org/wiki/HPV_vaccine https://www.mdanderson.org/publications/focused-on-health/wh... https://www.cdc.gov/cancer/hpv/oropharyngeal-cancer.html

I've thought about getting one myself, since I identify as a gay man. Though last I checked it was not covered by my insurance...

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#26

Post by Henchman21 »

chimeracoder wrote: post #21
hermannj314 wrote: post #17

Earlier quoted context omitted.

I am not sure why all the replies are indicating you are anti-science or anti-vax. It is annoying to be told something from your doctor, internalize it, have your doctor suggest flu and covid vaccine for years but never HPV, and then be told on HackerNews "you should have the HPV" and now I am supposed to tell my doctor I can do his job better than him because I read something on the internet even though most doctors…

> I think their Epic Health computer system that needs me to confirm my date of birth every 6 weeks can find some time to suggest the HPV vaccine if it is so damn medically necessary. You're assuming that the purpose of the EHR (Epic) is to implement public health recommendations or to establish minimum standards of care. That's a reasonable assumption for someone who doesn't work in the field, but unfortunately it's…

What are? Let me make a cynical guess:

1. Reducing costs by hiring fewer people.

2. Increasing profits by decreasing care.

Did I nail it or what?

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#27

Post by unavoidable »

sitkack wrote: post #2

PSA, everyone should be getting the HPV vaccine, regardless of age and gender. https://en.wikipedia.org/wiki/HPV_vaccine https://www.mdanderson.org/publications/focused-on-health/wh... https://www.cdc.gov/cancer/hpv/oropharyngeal-cancer.html

While this advice is good, the article is discussing HSV (herpes simplex virus), not HPV (human papilloma virus), which have quite different symptoms and epidemiology. There are, as yet, no approved HSV vaccines.

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#28

Post by offmycloud »

sitkack wrote: post #2

PSA, everyone should be getting the HPV vaccine, regardless of age and gender. https://en.wikipedia.org/wiki/HPV_vaccine https://www.mdanderson.org/publications/focused-on-health/wh... https://www.cdc.gov/cancer/hpv/oropharyngeal-cancer.html

> PSA, everyone should be getting the HPV vaccine, regardless of age and gender.

This is false, please don't take medical advice from an HN post. CDC guidelines do include quite a bit of discussion of patient age. [1]

1. https://www.cdc.gov/vaccines/vpd/hpv/hcp/recommendations.htm...

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#29

Post by arcmechanica »

robotnikman wrote: post #25
sitkack wrote: post #2

PSA, everyone should be getting the HPV vaccine, regardless of age and gender. https://en.wikipedia.org/wiki/HPV_vaccine https://www.mdanderson.org/publications/focused-on-health/wh... https://www.cdc.gov/cancer/hpv/oropharyngeal-cancer.html

I've thought about getting one myself, since I identify as a gay man. Though last I checked it was not covered by my insurance...

https://www.goodrx.com/gardasil-9

Re: Antiviral chewing gum to reduce influenza and herpes simplex virus transmission

#30

Post by hermannj314 »

chimeracoder wrote: post #21
hermannj314 wrote: post #17

Earlier quoted context omitted.

I am not sure why all the replies are indicating you are anti-science or anti-vax. It is annoying to be told something from your doctor, internalize it, have your doctor suggest flu and covid vaccine for years but never HPV, and then be told on HackerNews "you should have the HPV" and now I am supposed to tell my doctor I can do his job better than him because I read something on the internet even though most doctors…

> I think their Epic Health computer system that needs me to confirm my date of birth every 6 weeks can find some time to suggest the HPV vaccine if it is so damn medically necessary. You're assuming that the purpose of the EHR (Epic) is to implement public health recommendations or to establish minimum standards of care. That's a reasonable assumption for someone who doesn't work in the field, but unfortunately it's…

The one computer system that has all my lab results, knows every doctor I have ever visited and has every summary of every medical visit I have had in the last 5 years doesn't want to use the data it is storing to suggest a follow-up?

That sounds like a quid pro quo with some trigger shy lawyers. I can't possibly imagine the long game for Epic is to never use that. It is a shame people are dying of HPV caused cancers because Epic can't use the data it has. Sad. Probably why American medical outcomes are so poor.

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