67. Caring for the Unapologetically Unvaccinated

<p><span style="font-weight: 400;">We share two conversations about navigating the waters of interacting with unvaccinated COVID patients. Brit Long, MD and Jose Pacheco, RN are thoughtful healthcare providers with somewhat different approaches. The common thread is that both are intentional and compassionate.</span></p> <p><strong>Guest bios: </strong> <span style= "font-weight: 400;">Brit Long is an assistant professor of emergency medicine in San Antonio, Texas and Editor-in-Chief of Clinical Content at</span> <a href= "http://www.emdocs.net/about/"><span style= "font-weight: 400;">emcdocs.net</span></a><span style= "font-weight: 400;">. He is one of the most published authors in the field of emergency medicine. Brit is working in a unique environment where he's running what is in effect a COVID emergency department in an underserved area with an incredibly high unvaccinated rate. </span></p> <p><span style="font-weight: 400;">Jose Pacheco is an emergency department nurse who is a local legend for his kind personality and fully engaged approach to caring for patients. He is not just a legend among healthcare providers, but frankly, among the community.</span></p> <p><strong>We discuss:</strong></p> <ul> <li><strong>Brit’s mental processes when he enters the room of a patient with COVID pneumonia who is unapologetically unvaccinated [05:15];</strong></li> <li><strong>How Brit discusses the importance of vaccination with unvaccinated patients [05:43];</strong></li> <li><strong>The impact of one’s belief system on vaccine decision-making  [07:15];</strong></li> <li><strong>The fact that personal stories (and not scientific evidence) are what many who aren't able to critically appraise literature rely upon to make decisions [15:25];</strong></li> <li><strong>Framing the COVID vaccine as an anti-death vaccine [16:45];</strong></li> <li><strong>Handling post-shift frustration [19:30];</strong></li> <li><strong>The importance of celebrating the success when a vaccine hesitant person agrees to vaccination after you di