In my job, ‘I told you so’ is a very unsatisfying experience. We’ve all experienced the spark of schadenfreude when, after a bitter disagreement with another, we are proven right in unassailable terms. It’s a wicked joy, no doubt fueled by some deep-seated insecurity, but it is a joy nonetheless. You would think the opportunities for the elation of ‘I told you so’ abound in medicine. After all, we tell people to do things all the time for their own good and they resist us more often than you would think. Unfortunately, this is not the case.
While suiting up to see my first critically ill COVID patient in several months I felt the schadenfreude brimming when the resident told me he was unvaccinated. I, along with just about every other doctor in the world, have been preaching the merits of vaccination to anyone who will listen. I wrote about it when I got my first dose back in December 2020. I think I made a strong case and that was long before we had several months of data and experience showing better than expected efficacy and safety. So when I went into room 504 there was a small part in the back of my head giddy with the prospects of the ‘I told you so’. Don’t get me wrong. I am not a monster. I wasn’t going to lay it on him right out of the gate. I had a plan for a more subtle drop of sarcasm to get the point across without being too harsh. Not as pleasurable as a pointed finger and playground sing-song but effective nonetheless. Well, that was my plan – until I saw him.Continue reading “Is vaccination better than prior infection?”