Happy day for me. Several people I care a lot about got the COVID vaccine today, overcoming some hesitancy. What do I say to my patients who are unsure about the vaccine? This:

1. Talk to me. I’m happy to spend as much time with you as you need to discuss COVID and the vaccine. As it should be with any trusted primary care physician.
2. Over 95% of doctors got the vaccine as soon as it was available to them, and if you focus on physicians who actually care for COVID patients it is nearly 100%.
3. I am vaccinated, as is all my family including my 14 and 16 year olds. With no hesitation.
4. No corners were cut in the development of these vaccines, only red tape was cut. I’m happy to discuss how they were made and how they work.
5. At this point in the vaccine journey, we not only have great studies pointing toward their effectiveness and safety, but now we have real world experience in giving them to hundreds of millions of people over the last 9 months affirming their safety.
6. COVID is real. COVID is serious. COVID is unpredictable. The risk of the virus will always trump the risk of the vaccine. We as doctors know this after battling the virus for 1.5 years now.
7. In my own practice, the score right now is COVID 100: Vaccine 0. I literally have about 100 stories to tell you of my own patients who have either died, been on ventilators, been hospitalized, lived on the verge of being hospitalized for weeks, texting me at midnight about
low oxygen levels or chest pain, or now have COVID long haul symptoms. I have absolutely zero patients who have had a bad outcome from the vaccine other than brief side effects. Seeing our hospitals fill up, not being able to care for our patients in normal ways is so sad for us.
8. That all being said, your questions/skepticism are OK and need to be addressed. To that end, nothing we do in medicine has zero risk. Every medication or vaccine has risk. But I like to use this example to illustrate why we in medicine are so comfortable with the vaccine:
In teens, it seems the COVID vaccine carries a very small risk of myocarditis or heart muscle inflammation after the second dose, to the tune of about 50 cases per a million doses given to boys, and about 12 cases in girls. Typically it is mild and resolves in 1-2 weeks. BUT . .
Teens who get COVID disease get myocarditis much more frequently, anywhere from 500-3000 cases per a million. Not even a contest. The risk of the virus always beats the risk of the vaccine. We find this line of logic applies to really any known negligible risk from the vaccine.
9. I direct patients to trusted resources that all physicians use, but a unique strategy I use at times is to give patients printed copies of Up To Date advice on COVID vaccines and treatment. I say “If you come to me for ANY medical problem, you want me to be up to date . .
Meaning I know the standard of care from experts and evidence-based medicine. Across all fields of medicine, the resource called “Up To Date” is our “Bible” for that, a source all doctors trust. Here you will read about the safety and effectiveness of the COVID vaccines,
and why we WILL treat you with monoclonal antibody therapy if you get COVID and are at risk, but also why we will NOT treat you with ivermectin and hydroxychloroquine at this point. You want me to be Up To Date on COVID like you do all your medical problems.”
10. Lastly and most importantly: I CARE DEEPLY FOR YOU AND YOUR FAMILY. I ALWAYS HAVE. I ALWAYS WILL. THAT IS WHAT MOTIVATES ME TO SHARE THIS ADVICE WITH YOU TODAY. I JUST ASK THAT YOU TRUST ME NOW AS YOU HAVE FOR ALL YOUR OTHER HEALTHCARE NEEDS.

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#ஆதித்தியஹ்ருதயம் ஸ்தோத்திரம்
இது சூரிய குலத்தில் உதித்த இராமபிரானுக்கு தமிழ் முனிவர் அகத்தியர் உபதேசித்ததாக வால்மீகி இராமாயணத்தில் வருகிறது. ஆதித்ய ஹ்ருதயத்தைத் தினமும் ஓதினால் பெரும் பயன் பெறலாம் என மகான்களும் ஞானிகளும் காலம் காலமாகக் கூறி வருகின்றனர். ராம-ராவண யுத்தத்தை


தேவர்களுடன் சேர்ந்து பார்க்க வந்திருந்த அகத்தியர், அப்போது போரினால் களைத்து, கவலையுடன் காணப்பட்ட ராமபிரானை அணுகி, மனிதர்களிலேயே சிறந்தவனான ராமா போரில் எந்த மந்திரத்தைப் பாராயணம் செய்தால் எல்லா பகைவர்களையும் வெல்ல முடியுமோ அந்த ரகசிய மந்திரத்தை, வேதத்தில் சொல்லப்பட்டுள்ளதை உனக்கு

நான் உபதேசிக்கிறேன், கேள் என்று கூறி உபதேசித்தார். முதல் இரு சுலோகங்கள் சூழ்நிலையை விவரிக்கின்றன. மூன்றாவது சுலோகம் அகத்தியர் இராமபிரானை விளித்துக் கூறுவதாக அமைந்திருக்கிறது. நான்காவது சுலோகம் முதல் முப்பதாம் சுலோகம் வரை ஆதித்ய ஹ்ருதயம் என்னும் நூல். முப்பத்தி ஒன்றாம் சுலோகம்

இந்தத் துதியால் மகிழ்ந்த சூரியன் இராமனை வாழ்த்துவதைக் கூறுவதாக அமைந்திருக்கிறது.
ஐந்தாவது ஸ்லோகம்:
ஸர்வ மங்கள் மாங்கல்யம் ஸர்வ பாப ப்ரநாசனம்
சிந்தா சோக ப்ரசமனம் ஆயுர் வர்த்தனம் உத்தமம்
பொருள்: இந்த அதித்ய ஹ்ருதயம் என்ற துதி மங்களங்களில் சிறந்தது, பாவங்களையும் கவலைகளையும்


குழப்பங்களையும் நீக்குவது, வாழ்நாளை நீட்டிப்பது, மிகவும் சிறந்தது. இதயத்தில் வசிக்கும் பகவானுடைய அனுக்ரகத்தை அளிப்பதாகும்.
முழு ஸ்லோக லிங்க் பொருளுடன் இங்கே உள்ளது
https://t.co/Q3qm1TfPmk
சூரியன் உலக இயக்கத்திற்கு மிக முக்கியமானவர். சூரிய சக்தியால்தான் ஜீவராசிகள், பயிர்கள்

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Recently, the @CNIL issued a decision regarding the GDPR compliance of an unknown French adtech company named "Vectaury". It may seem like small fry, but the decision has potential wide-ranging impacts for Google, the IAB framework, and today's adtech. It's thread time! 👇

It's all in French, but if you're up for it you can read:
• Their blog post (lacks the most interesting details):
https://t.co/PHkDcOT1hy
• Their high-level legal decision: https://t.co/hwpiEvjodt
• The full notification: https://t.co/QQB7rfynha

I've read it so you needn't!

Vectaury was collecting geolocation data in order to create profiles (eg. people who often go to this or that type of shop) so as to power ad targeting. They operate through embedded SDKs and ad bidding, making them invisible to users.

The @CNIL notes that profiling based off of geolocation presents particular risks since it reveals people's movements and habits. As risky, the processing requires consent — this will be the heart of their assessment.

Interesting point: they justify the decision in part because of how many people COULD be targeted in this way (rather than how many have — though they note that too). Because it's on a phone, and many have phones, it is considered large-scale processing no matter what.