Mary writes:
Hi TWIV, thank you so much for your excellent podcasts. Since I discovered them (what took so long?) I have listened regularly and am catching up on older relevant episodes.
My question is: I was able to get a just-in-case prescription of Paxlovid to start immediately if covid should get through despite my precautions (I’m 73). If I have a rebound (I know, it’s not a Paxlovid rebound) would it be helpful to take a second course of Paxlovid? Or might it be worth seeking out Remdesevir? I’m not so much concerned about a severe initial case of covid because I’m vaxxed with the most recent bivalent booster in May, although I hate to be sick with anything, but I interested in avoiding the long-term sequelae of long covid/organ damage/etc.
Thanks again!
Mary
Corvallis, Oregon
Katherine writes:
Dear Dr. Griffin,
Thank you for making yourself available as a resource for all physicians trying to do our best in caring for patients. My partners and I (Pediatricians) are curious about the recommendations for RSV vaccination with Beyfortis when a mother has had the RSV vaccine during pregnancy. Should we give Beyfortis as additional protection? Or would it be better to hold off until their second season for RSV? Do you think insurance companies will pay for the vaccine for babies if mom’s also received the RSV vaccine during pregnancy?
Thank you again, Katherine Thaller, MD
Louise writes:
Hello doctors:
I am a family physician from suburban Philadelphia I have a Patient with inflammatory bowel disease and immunosuppressive therapy who just had a pap with positive HPV. Her gynecologist recommends the Gardisil vaccine, but it is only indicated for up to age 45. Any suggestions?
Louise
Caroline writes:
Hi there,
Thank you for all that you do!!
Could you please talk a bit about nersevimab timing for infants?
News reports state it will be out before rsv season in October. However, hasn’t RSV season been earlier this past two years since covid?
Rsv went around my older child’s class in September last year and I’m concerned nersevimab wont be available before my infnat is exposed.
As parents, I know we don’t have control over the timing, but any info you could provide on rsv seasonality and the nersevimab availability process would be appreciated!
Thank you!
Caroline
Diana writes:
Dr. Griffin, The hospital where my physician affiliates does not carry Remdesivir because they say it is ineffective. Is this true? I do not think I can swallow Paxlovid. Do I have any options other than to end up on a ventilator?? This is upsetting.
Thank you.
Diana