There are reasons that I’m not a pediatrician. First, and foremost, I like surgery. Indeed, when I first entered medical school, my intent was to become an academic internist, but things didn’t quite work out that way. To my surprise, when I did my surgery rotation I liked it way more than I ever thought I would, even with the then 100+ hour weeks. (This was long before the time of work hour restrictions on residents or medical students.) Then, when I did my internal medicine rotation, I found it far less interesting than I thought I would.
ask you about monkeypox while we have you. health officials this week authorized a plan to stretch the nation s limited supply of the monkeypox vaccine by essentially making the individual dose much smaller in a shallower injection than normal. some have been critical of that choice, including the vaccine manufacturer. how do you weigh that decision? yes. thanks. this is a very important public health problem. we ve got an ongoing outbreak that we re not in control of. we have a limited supply of vaccines. so the big question is until that supply chain improves, how do we get more people protected? this idea of what s called fract fra fractionated intradermal dosing and layer it into the skin, not
says they had hesitations about the approach. let s go to jacqueline mohoward for more. san jay was reporting on this - i ll get the medical term wrong, but post dermal or right under the skin. intradermal injection, versus the full end of the muscle. is that what this is about? that s exactly what this is about. and that company letter, the vaccine manufacturer s ceo said he has reservations because we need more data on administering the vaccine using this intradermal route. i ll tell you about that. with this new vaccine strategy, from the biden administration, the fda authorized for the vaccine to be administered intradermally at a smaller dose. and here is the difference. subcutaneous injections there in the middle are given in the fatty layer below the skin where intradermal injections are administered in between the skin layer as you see there, the epidermis and dermis.