31 December, 2020

COVID-19 Vaccine




GGC Work-Family,

I was excited to receive the Covid vaccine this week. As an Allergist/Immunologist, I can speak to some of the concerns out there about this new vaccine:

1.  Is mRNA technology safe?
 Yes. Although there are a lot of conspiracies out there regarding COVID mRNA reverse encoding into our human DNA, that is not biologically plausible. There are no extra enzymes or proteins present for this to occur.

2. Can I get the vaccine if I have asthma, environmental, or food allergies?
  Yes. The details of “anaphylaxis-like” reactions are still being investigated. But needless to say, the messaging after these reactions occurred was broad and vague by the European authorities, i.e. anyone with any type of allergy cannot get the COVID vaccine. The correct guidance is that everyone will be monitored for 15 minutes after receiving the vaccine. If you have any type of an allergy, to foods, etc, then the monitoring period is extended 30 mins. Only if you have true anaphylaxis with other vaccines, you should first consult with your physician before receiving the COVID-19 vaccine.

3. Can I get the COVID-19 vaccine if I have an immunodeficiency?
Yes. This is not a live vaccine and should be able to be safely administered in those with weakened immune systems. The protective response may not be as robust due to their underlying immunodeficiency, however, is there no risk of contracting COVID-19 from this vaccine.

4. I have heard so many names, Pfizer or Moderna - which one should I get?
  The one which is most easily available for you. The safety and efficiency profiles for all of the vaccines are similar, and none has proven to be better than the other. The goal of mass vaccination is the achievement of herd immunity within the population. This can only happen if we all trust in science and get the vaccine as soon as it is available to us.

5. If I’ve had a COVID infection, do I still need to be vaccinated?
 Yes. We don’t know how long immune memory to COVID-19 lasts, and the previous infection may not be enough to protect us in the long term. If you’ve had a recent covid infection you need to have recovered from the infection prior to vaccination. Current evidence suggests that reinfection is rarely less than 90 days from the onset of infection.  So an individual may choose to wait 90 days before receiving the vaccine.

6. After I get the vaccine, do I still need to wear a mask?
 Yes (for now). The vaccines have been shown to significantly prevent severe disease, meaning that if you contract COVID you are less likely to be symptomatic or have a bad outcome if you are symptomatic. But what is not known yet is if it prevents you from passing the infection to others.  Masks are the primary modality to protect others from you and you from them. So,  until the infectivity rate after vaccination is studied in greater detail, the responsible thing to do is wear a mask. The newer vaccine studies are showing potentially less able to pass the infection, so there is hope in sight.

7. What does it feel like to get the vaccine?
 I had a bit of a sore arm the night of my injection. The next morning, I felt great - no soreness, fever, or other symptoms.

Vaccination will protect all of us, our families, our co-workers, and our patients.  So please consider taking advantage of the vaccination opportunity.



لقد كنت متحمسًا لتلقي لقاح Covid هذا الأسبوع. و بصفتي اختصاصي أمراض حساسية / مناعة ، يمكنني التحدث إلى بعض المخاوف الموجودة حول هذا اللقاح الجديد:

1. هل تقنية mRNA آمنة؟ 
 نعم. على الرغم من وجود الكثير من النظريات فيما يتعلق بالتشفير العكسي لـ COVID mRNA في الحمض النووي البشري ، إلا أن هذا غير مقبول بيولوجيًا. لا توجد إنزيمات أو بروتينات إضافية موجودة لحدوث ذلك.

2. هل يمكنني الحصول على اللقاح إذا كنت أعاني من الربو أو الحساسية البيئية أو الحساسية الغذائية؟ 
  نعم. لا تزال تفاصيل التفاعلات "الشبيهة بالحساسية المفرطة" قيد التحقيق. لكن لا داعي للقول إن الرسائل بعد حدوث ردود الفعل هذه كانت واسعة وغامضة من قبل السلطات الأوروبية ، أي أن أي شخص يعاني من أي نوع من الحساسية لا يمكنه الحصول على لقاح COVID. التوجيه الصحيح هو أن كل شخص سيخضع للمراقبة لمدة 15 دقيقة بعد تلقي اللقاح. إذا كان لديك أي نوع من الحساسية تجاه الأطعمة وما إلى ذلك ، يتم تمديد فترة المراقبة لمدة 30 دقيقة. فقط إذا كان لديك حساسية مفرطة حقيقية مع لقاحات أخرى ، يجب عليك أولاً استشارة طبيبك قبل تلقي لقاح COVID-19.

3. هل يمكنني الحصول على لقاح COVID-19 إذا كنت أعاني من نقص المناعة؟
نعم. هذا ليس لقاحًا حيًا ويجب أن يتم إعطاءه بأمان لمن يعانون من ضعف في جهاز المناعة. قد لا تكون الاستجابة الوقائية قوية بسبب نقص المناعة الأساسي ، ومع ذلك ، لا يوجد خطر الإصابة بـ COVID-19 من هذا اللقاح.

4. لقد سمعت الكثير من الأسماء ، فايزر أو موديرنا - أي واحد يجب أن أحصل عليه؟
  الأكثر سهولة بالنسبة لك. تتشابه ملامح السلامة والكفاءة لجميع اللقاحات ، ولم يثبت أي منها أنه أفضل من الآخر. الهدف من التطعيم الشامل هو تحقيق مناعة القطيع بين السكان. لا يمكن أن يحدث هذا إلا إذا وثقنا جميعًا في العلم وحصلنا على اللقاح بمجرد توفره لنا.

5. إذا كنت مصابًا بعدوى COVID ، فهل ما زلت بحاجة إلى التطعيم؟
 نعم. لا نعرف إلى متى تستمر الذاكرة المناعية لـ COVID-19 ، وقد لا تكون العدوى السابقة كافية لحمايتنا على المدى الطويل. إذا كنت قد أصبت مؤخرًا بعدوى فيروس كورونا ، فأنت بحاجة إلى التعافي من العدوى قبل التطعيم. تشير الأدلة الحالية إلى أن الإصابة مرة أخرى نادرًا ما تكون أقل من 90 يومًا من ظهور العدوى. لذلك قد يختار الفرد الانتظار 90 يومًا قبل تلقي اللقاح.

6. بعد أن أحصل على اللقاح ، هل ما زلت بحاجة إلى ارتداء قناع؟
 حاليا( نعم). لقد ثبت أن اللقاحات تمنع المرض الشديد بشكل كبير ، مما يعني أنه إذا أصبت بـ COVID ، فمن غير المرجح أن تكون لديك أعراض أو تكون نتيجة سيئة إذا كنت تعاني من الأعراض. لكن ما لا يعرف حتى الآن هو ما إذا كان يمنعك من نقل العدوى للآخرين. الأقنعة هي الطريقة الأساسية لحماية الآخرين منك ومنهم. لذلك ، حتى يتم دراسة معدل العدوى بعد التطعيم بمزيد من التفصيل ، فإن الشيء المسؤول الذي يجب فعله هو ارتداء قناع. تُظهر دراسات اللقاح الأحدث احتمالًا أقل قدرة على تمرير العدوى ، لذلك هناك أمل في الأفق.

7. ما هو شعورك عند أخذ اللقاح؟
 لقد أصبت قليلاً بألم في الذراع ليلة حقني. في صباح اليوم التالي ، شعرت بشعور عظيم - لا وجع أو حمى أو أعراض أخرى.

التطعيم سيحمينا جميعًا وأسرنا وزملاءنا في العمل ومرضانا. لذا يرجى التفكير في الاستفادة من فرصة التطعيم.



20 November, 2020

Lab Technician


   In the Pandemic Time; In addition to my essential job; I started doing as a lab technician; running the tests of COVID-19 Virus plus Respiratory Syncytial virus and both FLU A and B viruses.

   في وقت الجائحة، تم إضافة عمل جديد الى عملي الأساسي، هذا العمل جديد هو التدبير الفني لتحاليل فيروس كوفيد-19 فضلاً عن الأنفلونزا بنوعيها أ و ب، و كذلك الفيروس المخلوي التنفسي.




19 November, 2020

Greeter impact

 



Greeters,

 I hope that you are all continuing to stay safe as COVID cases once again are on the rise. I wanted to say thank you again for all that you gave to Siloam during the height of the pandemic; whether you volunteered once, or every week each one of you made an impact. The attached graphic shows just that impact; you helped protect thousands of people by sitting outside and asking a few simple questions.


I don’t think there is a big enough thank you that we can give that adequately describes how thankful we truly are. As I have said before, once groups can gather, I would love to have you all in the clinic, especially for those that have never been beyond the waiting room, so that you can see the lives you protected by being a greeter.

THANK YOU!!!


01 November, 2020

Daylight Saving Time

 

    

    Many have already written on this topic and strongly researched in it…

And as a specialist in pulmonary diseases, I am trying to close all chances of researching in this matter…

Unless I must express my respect to the authorities and governments to resume working by the summertime theory…

Perhaps, there are such unknown reasons that make all these governments to follow the unhealthy system…

Inhuman…

Abnormal one…

I tried to handle this topic in criticizing the manner by pointing at the advantages and the disadvantages of the summertime…

Unless, by being truly honest, medically I can’t find any benefit for one’s good health…

The disadvantages are too extensive on the respiratory system. This is what makes me desire to suffocate this topic in all researches…

Ø  The mood disorder that causes an actual or unreal feeling of the inefficiency of the respiratory system and the short breath…

Ø   The Difference in sleeping time and a temporal disturbance in the consistency and tranquility of the breathing process…the tranquility that works on sleeping mainly…

Ø  The difference, in getting uptime, which results in the feeling of the lack of resting, causing tension and nervousness in the daily life and the need for more oxygen relatively…

Ø  Some would increase their smoking averages to have an unreal feeling of mood improvement…

Ø  Causing an increase in the heart rate the leads naturally to decrease the oxygen in body cells so the increase in the respiration and labored breathing…

Ø  The suffering of the chronic case during the treatment period in having their long term medication which causes many troubles…

Ø  The suffering of the acute or temporal case from the same recent dilemma…

These were some of the disadvantages of summertime that affect directly and indirectly the respiratory system’s efficiency of the well-health person and the patient…

I am not quite certain of closing all researches in this matter especially when many have already discussed the issue from many different scientific and social fields but I hope that the responsible authorities reconsider discussing the summer time’s system…

Discussing the possibility of burying it…

04 September, 2020

The Antiwinteric!





These words are valid at the beginning of every winter.

Specifically... when the summer heat slows down, the mood of the climate turns better, the schools open its arms to welcome the students, the autumnal breezes start to blow, and the early cold of winter announces timidly about the onset of the cold...

This stage begins in the last third of September and lasts about six weeks...

It is an important stage in chest disease medicine, in which doctors begin to recommend starting the application of systems that push the immune system to prepare for winter... and to take due precautions early to avoid all avoidable winter respiratory problems...

This is on both the acute and chronic levels...

Among the preparations to strengthen immunity and combat winter problems is to take the Antiwinteric at the same period every year...

The term Antiwinteric, which I invented to denote the important vaccine that is taken by intramuscular injection once from the period the article talks about each year...

And it is the annual vaccine against the influenza virus...

In fact, winter antidote, or the vaccine against the influenza virus, is one of the medical determinants of life and of human necessity...

In fact, winter antidote is not a life luxury or a medical luxury...

Rather, it is extremely important for chronic cases of pulmonary diseases, to avoid the winter flu and its concomitant chronic cases...

It is also very important for those who have not previously complained of a chronic pulmonary problem...

The seasonal influenza virus has become dangerous and has many satisfactory implications...

It is a pleasure for me to emphasize the necessity of receiving the Antiwinteric for immunological and moral reassurance to reduce the incidence of winter influenza and even implicitly the swine flu virus...

Make sure to keep track of the pharmacy you deal with, and ask about the availability of the flu vaccine...

The Antiwinteric...

Make sure to receive your dose with your family, your loved ones, and those who are in your circle of interest and responsibilities...

With the Antiwinteric, we are trying to contain the renewed virus with seasonal influenza and to limit the infections as much as possible...

We emphasize the need to receive the Antiwinteric and attention to raising the immune status through immunomodulators, which are desirable to take in the period to which we referred...

The Antiwinteric is dealt with, before the geographical winter in terms of the preventive concept...

Take care of the winter counter...

You are enjoying a wonderful and stable winter...

21 July, 2020

صدر العباسية

١٥ سنة - صدر العباسية 
٢١ يوليو ٢٠٠٥
نشكر الله

12 June, 2020

CASPA - Floyd



Dear Bassem, 
The killing of George Floyd, as well as those of Ahmaud Arbery and many others recently, have been a shocking reminder of the racism that continues in this country. The protests we have seen around the world have reminded us of the understandable anger of so many people at persistent systemic racism, as well as the power we all have to mobilize against it. As an organization guided by its mission of “Health For All,” PAEA understands that racism is a significant factor in health and health care. As the only national organization representing all accredited PA programs (and those in the accreditation pipeline) across the country, PAEA is committed to providing ongoing support for faculty, students, and aspiring PAs. We know there is work to be done. We will continue to learn more about student experiences so we can help identify a path forward in ending racism and injustice – in our communities, in our health care system, in our programs, and in ourselves.  
One way that we’ve tried to provide this support is by hosting a student Town Hall, where PA students bravely contributed their concerns and experiences to a larger conversation about implicit bias, systemic racism, and public health. More than 1,500 students signed up for this webinar, despite a quick turnaround – a testament to their need for support and a safe outlet for their voices. We hosted a similar Town Hall this week for faculty, to allow them to share their concerns, grief, hopes, and ideas for change. We are working to understand how PAEA can support students in successfully fulfilling their dream of becoming a PA. Our goal is to emerge from these situations stronger and with a better understanding of where our shortcomings are and what the right next steps are to address these issues.  
Racism is a public health crisis, and through this crisis, we must all do our part to lift those voices that are working to promote equity. It is an honor for PAEA to have contributed the platform to elevate your voices. We heard from you. And we will continue to hear and see you.