The Legal Drug Dealer Podcast

Getting Pharmacy as a profession Closer to The Patient

April 28 2020

#20 Scheduled and Traveling Vaccines

With Angela Solis, RPh & Marilena Grittani, RPh

This episode is PACKED with details of stuff that, you need to know or you wish you knew, about vaccines, all provided by Angela Solis, RPh. She is so informative and clear on her explanations that, I know you will find the time invested on this episode very productive.

Some of the most relevant points she made are:

Why vaccines are good,
Why vaccines are important,
Why we, healthcare people, believe in vaccines.
Why babies need to be vaccinated so many times,
Why we need to get vaccinated as an adult,
Vaccines schedules (for children and adults)
The difference between a vaccine and a booster
Why do we need to get vaccinated before we travel to certain places,
Among a ton more…

Angela Solis, Registered Pharmacist and Mom

" Many childhood immunizations provide lifelong immunity... So, once you’ve had the whole series as a child, you may never need to be vaccinated with certain vaccines for the rest of your life. There are exceptions though, immunity does wane or wear off with some vaccinations... "

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" (About vaccines) Whatever the decisions you make (with your kids) affects the community, the country and in this case, even the world, then we should have issues and we should be more mindful about it. "

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Episode Transcripts

Marilena Grittani, RPh  0:10 

Hola, and welcome to The Legal Drug Dealer podcast. Marilena Grittani here. I am a registered pharmacist, but also your host. Thank you for listening to this our new episode, Episode Number 20. Today, we have a treat for you, we’re going to be talking about something that is very interesting based on the times that we’re living, and also very good guests. She’s super knowledgeable and super experienced and you’re going to have a lot of information. To learn from this episode, we’re going to be talking about vaccines with Angela Solis. She’s been our guest before she was here and our first interview episode number six, talking about compounded drugs or medications that are made personalized and for you. So we’re going to be talking about vaccines with Angela, remember that I have made a prior episode where I did talk about vaccines as well. That was episode number 17. But on that episode, I was talking more about how vaccines are made. What determines that they take so long for them to start? And why is it a complicated process? And it’s not super easy as we all think it is. That was episode number 17. And I also talked about what are vaccines and how do they work with our own immune system. I also make a little note about what the immune system is and how it works. So it’s easier for you to understand and I think that it will be valuable for you to go to that episode number 17 in case that you feel a little bit lost with the information that we given in this episode that is a little bit advanced. And without that information might be a little bit harder for you to get it so I invite you to listen to Episode 17 or you can go to the TheLegalDrugdealer.com/17. And the episode is there, you can listen to it there and of course, all the resources that are published there as well. But today we’re going to talk about vaccines and the schedules and why you need to poke a baby so many times and why vaccines are so good and why we healthcare people believe in vaccines. And why is that some people that don’t believe in vaccines, some why, and also the type of vaccines that we need to get more than one doses and why, and also details specifically about what needs to be done when you go out of the country, and why you need to get vaccinations. So it’s going to be packed with information again, but it’s going to give you a good sense of what vaccines are and why are they for and when you need them. And what do you need to do when you do so with any more comments. Here’s Angela Solis with vaccinations. Well, Angela, thank you so much for being back to our podcast, it’s so good to have you, The Legal Drug Dealer wouldn’t be the same without you because you are one of our most popular guests. So thank you for coming back.

Dr. Angela Solis  3:09 

Glad to be here. Looking forward to talking today.

Marilena Grittani, RPh  3:11 

You’re, you’re super didactic people follow you so well and they understand you. So thank you for being back here. And I love talking to you, you know. So, your first episode with us was number six, and we were talking about compounding drugs. And we went with more details on that. We geek out but if you want more details about that you can go visit that episode. But I just want you to give us a quick review of why did you become a pharmacist? And how long ago was that?

Dr. Angela Solis  3:40 

Well, I went to work in a pharmacy when I was still in high school working for my father’s friend and didn’t think I wanted to be a pharmacist didn’t know but I grew to love the profession through that high school job. went straight to college and majored in pharmacy and got my pharmacy degree 40 years ago in 1979

Marilena Grittani, RPh  3:59 

My goodness, yes, time flies, right?

Dr. Angela Solis  4:02 

I’ve practiced in independent pharmacy, community pharmacy, hospital, pharmacy, and academia as a university faculty member, and touched on a little bit of a lot of things in life,

Marilena Grittani, RPh  4:15 

literally, literally. And I always say that I’ve done that, but you when you do it, you have done it more than me. So what is it that motivates you to help your patients?

Dr. Angela Solis  4:25 

This not knowing that I am helping my patients and getting positive feedback from them about how I made a difference in their life is what really motivates me.

Marilena Grittani, RPh  4:35 

Yeah, I bet that that feels good. If I’ve happened to me to be really cool. Just tell us what is it that you do right now? What are you working with?

Dr. Angela Solis  4:45 

independent community pharmacy, and we specialize we do traditional community pharmacy practice, but also compounding, wellness and supplements. And immunizations. In fact, are so well known for being an immunization provider and having expertise in that area that we also are known as destination immunization.

Marilena Grittani, RPh  5:06 

Oh, that sounds good and rhymes too. Okay, that is precisely what we’re going to be talking about today, immunizations or as people know it and vaccines. So let’s just talk about it. Let’s just jump right in. Why are vaccines so important in general, without specifying them anything?

Dr. Angela Solis  5:27 

Well, in general, they have taken diseases that used to be prolific nationwide that used to cause significant disease, mortality and morbidity in the United States and around the world. And they’ve taken many of those diseases, almost to extinction. several diseases have been completely eradicated in the United States through the results of immunization. And then in fact, the Center for Disease Control has identified immunization or vaccination as one of the 10 greatest publish public achievements of the entire 20th century. So I think are important.

Marilena Grittani, RPh  6:08 

Yeah, I agree with that. And also the fact that we live in, in certain countries, and I’m going to talk specifically about mine, and I was telling you about this where before we started, we are 46 cousins, and we grew up all together. And when one of them got anything that the other 45 did, too. And that is just one family. So in communities or countries where the spaces are not that big, like in Texas, that everything is huge there, and you get contaminated or you it gets really, really quickly like is happening in New York with the corona virus. So people that live in areas, which is big, and they didn’t have that kind of issues, do not understand what happens when this more crowded and this less space, and that’s why vaccinations are very important. So tell me something. I think it’s cool. I agree, but it’s necessary. Why poor babies need to be vaccinated so many times?

Dr. Angela Solis  7:03 

The Center for Disease Control immunization schedules give children as many as four vaccines at four different shots at one time. So yeah, you can get some crying babies with that. The good news is little babies usually stop crying about 30 seconds or a minute after I give them an immunization and injection. They get over it, they forget it quickly. There aren’t usually significant adverse effects from the immunization, and the parents and the rest of the family can then rest assured that the child is less likely to contract a potentially deadly disease. An example of that measles was almost completely eradicated in the United States. There were less than 40 cases in the United States several years ago. And in 2019, just last year, that had increased to 1300 cases of measles in the US, and measles can be is not always but can occasionally even be fatal in children. And the reason for that increase in measles incidence in the US is because of the larger numbers of children in some cities or in some areas that my choice the parents have chosen not to give the measles vaccine.

Marilena Grittani, RPh  8:17 

And also they have come because it transmits from airborne, it’s really easy to be contagious. And also people that have come from other countries that it’s not eradicated yet, then they bring it over and because these kids are not immunized, then it’s when it’s it just goes big really quick, like this virus that we’re living through these days because we’re recording this in April 2020. And we’re in the middle of the lockout that we are doing to prevent the the proliferation of this virus. So I understand that people have their choices but because the kids are theirs and they get to do it, but when your kid or or whatever the the decisions you make affect the community and the country and in this case, even the world, then we should have issues and we should be more mindful about it. So I need to talk about why we need to get vaccinations as an adult. If that’s a baby, they stab you so many times per thing. I think that the parents get hurt more than the baby because they have to hold the baby right. But why as an adult, we need to get vaccinated as well.

Dr. Angela Solis  9:28 

Well, many of those childhood immunizations provide lifelong immunity to us. So once you’ve had the whole series as a child, you may never need to be vaccinated with certain vaccines for the rest of your life. There are exceptions though, immunity does wane or wear off with some vaccinations. So an example for that is tetanus or or the tetanus diphtheria pertussis immunization, which is known that the immunity wears off after about 10 years. So adults are recommended. Repeat the vaccine every 10 years as adults, there are other immunizations that are not given to infants at all. And a good example of that is the shingles vaccine. shingles vaccine is recommended only for people ages 50 and older. Because it’s the older population that is more likely to develop shingles, which can be extremely painful, painful, and significantly impair the health of a patient who develops shingles, there can be some very severe cases. When we age, our our ability of our body and our immune system to fight off diseases wanes. And so after the age of 50, you’re that’s when you’re the more likely to develop shingles and certainly after age 70 or 80, even more likelihood that people will eventually develop shingles. So shingles is an example of effects. that’s given only to adults only over the age of 50.

Marilena Grittani, RPh  11:04 

Well, I was one of the lucky one.

Dr. Angela Solis  11:06 

Go ahead, shingles vaccine. If the patient completes the currently recommended two dose series, it’s two doses as an adult, then you’re 95% less likely to ever develop shingles in your life.

Marilena Grittani, RPh  11:21 

Well, I was going to say that I was one of the lucky ones that got shingles when I was 42. Yay. It was awful. It was awful. It was a mild case, but it was really bad. So whoever’s listening to this, that is 50 or older and have not gotten chimp shingles. Trust me, you need it because you don’t want to go through this is is is get to a point that you feel like you just want to stop everything because they heard some burns and itches so much and constantly that there is no relief and even if you take medications for it, even if you put because people we have topical products and we have pills, and people do concoctions and stuff, which I did too with essential oils and everything. I tried everything because there was desperate. It didn’t actually help until the whole course of the infection went away. So absolutely I don’t go through this by choices is really bad. It’s really bad. Okay, so what you said that for shingles we need to have vaccinations, which will explain to us why some of them we need several like I remember taking Hepatitis B, I need to do three rounds. And if I didn’t completed the three rounds in the state in the period of time that it was assigned I needed to start over and on why two or once every year what is the difference?

Dr. Angela Solis  12:48 

Well and clinical trials are done in the steady in the development of vaccines and in those trials. They measure how how long the immunity lasts and how strong the immunity develop. For a given disease, so with hepatitis B, for example, the clinical trials determined that it takes a three dose series given over six months to help you develop full immunity as as full immunity as you can get to last the rest of your life. If you only have one dose or two dose, it may not be as strong an immunity or last as long. So every vaccine is different. Hepatitis B, three doses, hepatitis A is two doses, shingles is two doses. And it’s all based on the clinical trials demonstrating how many doses are necessary to provide immunity.

Marilena Grittani, RPh  13:35 

And, and so you said hepatitis A Hepatitis B hepatitis C so so it’s not one for all of them.

Dr. Angela Solis  13:43 

And you can get a combined hepatitis A and B vaccine. That’s all in one shot. So you only have to have me stick you once for each. Yes. But but there’s no work to get them separately.

Marilena Grittani, RPh  13:56 

But they don’t work for all of them. It’s not because they’re called hepatitis at work for the three of them?

Dr. Angela Solis  14:00 

No, it works only to hepatitis A works only for hepatitis A disease. Hepatitis B vaccination works only for B. There’s currently not an immunization for any of the other hepatitis A hepatitis C.

Marilena Grittani, RPh  14:12 

Okay. So explain to us why it’s not just one vaccine to get us free of everything because it whenever we talk about vaccine, have you been vaccinated? You think Yeah, when I was little I got everything that I needed. But that is not what it is. And that is it. And they don’t cover anything. Everything. I’m sorry, they cover particular diseases, but not all of them. So would you please tell us why is it so many? Because most people say that’s the way that pharmacies and doctors make money and the pharmaceutical companies so tell us about that. And why is it was that idea so crazy that they’re made so used to make money.

Dr. Angela Solis  14:54 

Some, most vaccines are available in a single form so you can get only a certain vaccine. Yet there are three safety and efficacy studies that determined that we can mix together more than one vaccine. So a good example of that is measles, mumps and rubella have been determined safe to develop, put all together in one vial and give us one shot. So you get stuck one time within

Marilena Grittani, RPh  15:20 

Thank goodness,

Dr. Angela Solis  15:21 

Yes, exactly. Others can’t be combined safely, or studies haven’t been shown to show that the combination product would be safe. Plus, you wouldn’t probably none of us would want to get immunized against 20 different things on the same day because your body might have too strong an immune reaction and develop fever and so forth, because the body’s just responding too strongly against too many things at once. So in many cases, it’s better to spread them out somewhat.

Marilena Grittani, RPh  15:50 

I was talking on the episode that I recorded earlier about vaccinations that I was talking about a lot of details about it and I know I went a little geeky on it this episode. 17 and if you want to listen to it go to Episode 17 or TheLegalDrugdealer.com forward slash 17. I was telling there that why is the vaccine and I explained that vaccines are kind of the roadmap of how to destroyed a bacteria or a virus for our immune system. So basically is here is the, the guy that is very weak, that you can study and you can come up with your plan and once because our immune system is like an army that is defending us. And then if you introduce an enemy that is weak, that is not fully ready to attack, but it has all the properties that eventually can develop the disease, they can study and then they can assign, okay, this is what we’re going to do. You’re going to do this, he’s going to do that all the cells that belong to the immune system have their plan and they have filed the information somewhere. So whenever the patient receives the disease or is it exposed to the disease that they were vaccinated to these people that remember, Oh, I remember this guy, we talked about it, there’s a file, so the file is looked up, and then everybody knows what to do and how to do it. And the disease does not develop as much as it could have. For somebody that never heard about it. That immune system is like, I don’t know who you are, like Coronavirus that we never had immunity against that simply because it didn’t exist before. So when we talk about vaccinations, it has to be specific for a disease. And in the case of vitamin A or B, even though they have the first name, I mean, the first part of the name the same because it causes inflammation of the liver, because that’s what hepatitis means is different. It’s different strands of it. So it causes is different viruses that causes that particular disease. So that’s why we need a vaccination for each one. So let me just ask this and I wanted to make that and I talked in a lot in depth about that in that episode 17 and nine budget to go Listen to it if any of our listeners wants to know a little bit more, but why is it so important that the family understands this concept, whether you are a parent or you are planning to be a parent or if you are, you are not planning to have kids, but you have parents that they need to be vaccinated as well, because there’s vaccines that you get later in life.

Dr. Angela Solis  18:22 

Um, I have quite a few patients who have good strong links within the family that strengthen the ability or the knowledge of the patient to get immune in size. And one of the best examples of that occurred just this past week. One of our patients had a daughter who had just had a baby. And this particular the grandparents of this new baby had never been told by anyone the risks of pertussis, which is whooping cough. in infants and infants in neonates, pertussis can be extremely life threatening or even fatal. And so and infants can’t be immunized. when they’re first born for the first couple of months against protesters until they’re two months old, so if they are exposed to protests as as a newborn, it can be extremely dangerous for that infant. So the current recommendation is that parents of a newborn infant, all the household contacts, such as siblings, and even grandparents or people that are going to be close with the baby, be immune have current immunization status against whooping cough. So these grandparents didn’t know anything about this and baby had already been born. So within the space of three days, I had and it’s because of the family unit, the daughter and son and her husband notified the grandparents that they needed to be immunized, they got immunized and the very next day, another aunt and uncle came in and got him in us because they were also expecting a baby. So the family unit communicating this very important message about pertussis or whooping cough, to educate other and guardians immunized as a result.

Marilena Grittani, RPh  19:59 

Yeah, so um On that note, I just want to say whenever somebody that you know, had a baby, and they said, we’re not taking anybody to come visit the baby until they turn 3 months old. That is why it’s not because they don’t want you to see the baby is not because they are mean or rude. It’s simply because they are not sure if you got the vaccination if you’re immune against it, if you ever had the disease, and the babies are so fragile, the first three months of life and the vaccinations that they got, have not, you know, are not working 100% yet, so they have to keep them isolated the same way that we’re isolated these days because of Coronavirus, not to get anything from them because the parents and the grandparents, you know they will do it because they want they care about the baby. But if you are a relative or a friend that is not that close, most likely you won’t do a vaccination just because you want to go meet the baby. So that’s why most of the time the parents said that the pediatricians recommends three months away from non immediate family. So that’s what that’s So that’s why we in the pharmacist get so many dads that come. I don’t know whether I’m getting this but I wonder vaccine because my wife is about to have a baby.

Dr. Angela Solis  21:10 

Yes, exactly. We get that under frequently and that’s wonderful. And then if there are older children in the household, they need to be current on their immunization because the pertussis vaccine is, again given in the series beginning it two months old, up through age six years old, several vaccines several shots are given. And every young child in that household needs to be current on their series that contains that whooping cough vaccine, to make sure that they don’t develop it and then don’t give it to the bend and transmit it to their child or their younger sibling.

Marilena Grittani, RPh  21:44 

So tell us the difference between a vaccine and a booster.

Dr. Angela Solis  21:48 

A booster is the same thing as a vaccine. It’s just the first time it’s given you’re given a vaccine. And then when it’s the same exact vaccine is given again, another time that’s called a booster booster. And that’s what to boost the immunity to make the immunity stronger and longer lasting. And that’s why some vaccines are given as a more than one series. And we call this the second, third, fourth, whatever does a booster dose.

Marilena Grittani, RPh  22:14 

So when I was explaining this in that episode 17, I said, it’s like if you the file that you put away with the information for that particular virus or bacteria is so old that they might not find it when they need it. So they just do another one. The vaccine is a new file with refreshed information. So all the new soldiers that are taking care of that human being will remember easier. So that’s what I that’s how it’s a way to see it physically, that you can imagine that it will work that way so that I like that example

Dr. Angela Solis  22:45 

appears with your roadmap analogy. It’s like updating the roadmap because maybe some things have changed.

Marilena Grittani, RPh  22:53 

Okay, let’s talk about that. Why? I know it’s related. Why do we get a flu vaccine every year. I mean, doesn’t wasn’t they laugh because they just want to make money. That’s the reason why?

Dr. Angela Solis  23:05 

Not right. The problem with influenza is that influenza viruses mutate and change. So we may have a certain strain of the influenza vaccine that’s very prevalent and very strong and causes a lot of disease. But before the next flu season, the following fall begins, that virus might mutate or change or become different. And so the old flu shot that you got a previous year might not be the right strain might not contain the right strain that this new mutated strain is. So every year the the Center for Disease Control, develops a formula for what should be in cluded in the flu vaccine for the upcoming flu year, and they base this remember we were on multiple continents and we have a northern and southern hemisphere. So flu season in the southern hemisphere comes six months before flu season in the Northern Hemisphere where we live in the US. And so scientists are able to evaluate what strains are going around in the southern hemisphere. And those are likely to be the strains that are going to occur six months later in the Northern Hemisphere. So it’s a scientific, educated guess at what are going to be the most likely strains. And the flu vaccines that are given today contain either three or four different strains of flu that are likely to be the most likely circulating strains in the currencies.

Marilena Grittani, RPh  24:38 

So why did the scientists care about what’s happening in Australia today? What does that have to do with us in the US?

Dr. Angela Solis  24:45 

Well Coronavirus illustrates that pretty accurately what happened in China and was we had zero cases here. And with only three months and only three months after that week, what happened in China? What happened in Other countries in in Europe, Italy, and and in the UK, all ended up being in the US now. And that’s because we are we are truly a worldwide country now people travel from country to country and contagious diseases travel with them from country to country.

Marilena Grittani, RPh  25:19 

So whenever they are, the other thing that I wanted to point out is the seasons. It’s not only that, we have distances geographically but also the seasons. So when here is summer in the south is the winter. So whenever we’re getting over of the flu, for example, influenza, that is mostly in the in the months of the year that are cool or cold, then we get rid of it and it doesn’t have that much of it’s not that popular doesn’t happen that much in the US, but then whoever travels with it to the countries that are getting colder, at that moment, bring it there and then it develops there and it just spreads all over because it’s effective. Right the same way that Coronavirus or videos go viral. Yeah, I just met millennials. And then then they developed they’re a bunch of people getting affected, affected. Unfortunately a lot of people died. And then the same thing happens when they’re at the end of the winter there. We are starting our winter. And then people that travel bring it over. That’s why whenever you travel to different countries that they are known for specific diseases or, or virus or anything that is related to that. They request the country that you live on demand that you’re vaccinated before you go. So you if you’re going to certain areas in Africa and South America or places that you don’t have immunity for the diseases that develop there, they they request that you get them so why don’t we talk about that a little bit. How many vaccines are they and and do you do it in a pharmacy as well?

Dr. Angela Solis  26:51 

Yes, my pharmacy does a wide variety of travel vaccines. That’s another one of our expertise and the vaccines that you get when you travel internationally vary from country to country. Our United States Center for Disease Control has a website and a roadmap that walks you through for any given country. And even within certain regions of that country, what vaccines are recommended for traveled to that country. And so we use the CDC guidelines in doing travel consultations with our patients. And so some routine vaccines are recommended for international travel like that you have completed your measles, mumps and rubella series and that can be current on your flu vaccine. But some are specific to other countries. typhoid and yellow fever are not diseases that are in the United States, but that can be contracted in other countries. So our CDC recommends for travel to certain countries that you get immunized from typhoid or for yellow fever or from or you take anti malarial drugs, for example. And even within certain countries, our CDC was website breaks down within a given country, whether yellow fever is prevalent all over that country or only in certain regions of the country. So you’re immunized based on exactly what your travel itinerary will be.

Marilena Grittani, RPh  28:15 

So why people get immunized when they travel? Because they are they don’t have the roadmap to fight against those diseases when they go there and they could die or is it another reason?

Dr. Angela Solis  28:30 

To keep themselves healthy. And yes, some of these diseases like typhoid, or like yellow fever, we’ve never had that vaccine, perhaps living in the United States, so there is no roadmap. So by getting immunized before traveled to that area, you’ve already developed that travel roadmap to prevent you from developing yellow fever, or typhoid

Marilena Grittani, RPh  28:51 

Or bring it back to the country because we are not immune to it and then we can create a huge epidemic here if we bring stuff from other countries. That’s why we need to be mindful

Dr. Angela Solis  29:00 


Marilena Grittani, RPh  29:01 

Look at Coronavirus. Again, this thing is going to be here forever like it’s going to be an example. This Coronavirus thing is so, so big and so awful. Anyways, um, tell me about something if vaccines are so important and have eradicated so many diseases and it prevents us from being deadly, possibly sick of something, why is it okay for people to decline them? Why is it allow that to happen?

Dr. Angela Solis  29:34 

We have personal rights in the United States guarantees our right to make our own health decisions for ourselves. I think people just need to make very informed health care decisions about whether or not they’re going to be immunized and the implications of not being immunized for a given vaccine.

Marilena Grittani, RPh  29:53 

And back in Venezuela where I was born, you could not start preschool if you didn’t have all your vaccinations because the risk of Getting sick and contaminated or didn’t have the kids sick was too much of a risk. So it was it was mandatory. And same thing when they go to college that they live in small small areas they have that require of the vaccines. So if not, they will not get admitted. So parents don’t think about that issue that kids might not might have truncated their possible future because they just have not been vaccinated. And that that is a stigma as well. So why is it that these people declined them? Why would they say no to something that looks so important? so big?

Dr. Angela Solis  30:39 

fear, fear of adverse effects is probably a single most common reason for people to decline a vaccine. For example, debate began back in 1998, about the possibility of vaccines causing autism in children. And this occurred when British Researchers published a significant paper that stated that the MMR, measles, mumps and rubella vaccine caused autism. And a lighter investigation of that study uncovered numerous problems with how this study was conducted. And the journal that published that paper is named the Lancet journal. It’s a prominent medical journal, and finally later retracted the article, based on the discovery that there were too many errors in how the study was published. They also uncovered the fact that the lead researcher had actually been paid over half a million dollars by a lawyer representing we don’t know whom to, quote, find a link to autism. That researcher has just been discredited, lost his medical license and, and so on. But further study has gone on into into whether in fact vaccines could cause autism. One tie with the possibility of autism was a preservative called thought Marisol. It’s also called the mercury containing preservative. And and it current scientific studies, many many studies now show absolutely zero link to the development of autism. From vaccines, specific vaccines, or from Marisol. Nonetheless, Dr. Marisol has been removed from almost all childhood vaccines as a safety precaution. There hasn’t been thought that Marisol in childhood vaccines since 2001. Yet autism continues to rise. More cases of autism To this day, 19 years later, are still being uncovered without by mirasol being in the news. But that debate about the possibility of causing adverse effects began 20 or more years ago, and there’s a lot of data that may not be valid scientific data floating around on the internet, about anti backs or anti vaccine that purports that vaccine causes may cause diseases such as autism, that in fact, science now shows they do not.

Marilena Grittani, RPh  33:18 

And then people believe in your people. 

Dr. Angela Solis  33:21 

You can’t believe everything you read on the internet.  Scientific published data.

Marilena Grittani, RPh  33:28 

Yeah, well, with that, I just want to reinforce that we have talked about this podcast, that particular subject a ton of times. First of all, whoever said something that is not based on science, shouldn’t say it, because it’s so responsible to get ideas into people’s mind that are ignorant about where it come from, because it doesn’t have proof and then if you hear something like that, your responsibility as a human being is to go research or either you research yourself or find somebody that is An expert in the area in this case vaccinations are drugs so drugs is pharmacists experts. So go talk to your pharmacist or with a pharmacist that you trust or talk to three or five and make your own decision. Just understand that not because there is a conspiracy theory, it means that it’s true. There’s people that live with it that that’s what they do and there’s people that are paid to develop it so when you put at risk the health of your child there’s nothing more precious than that right your kids and then other kids lives and we live through it now with this virus and I heard means that are saying now the people that are antibiotics are looking for a vaccine for Coronavirus. I’m like see that’s a good thing that they got it unfortunately a lot of people died have been dying and more will be dying with this virus. But if that is the price, one of the benefits that we got from this virus, I’ll take it because it’s too much of a risk and is not worth it based on its conspiracy theory or a report That was not or study that was not well intended. So thank you for clarifying that. So tell me something. Why have I mean are vaccines covered by insurance? Do you have to pay out of pocket when we go to the pharmacy the doctor charges? How does it work? How is the payment thing working?

Dr. Angela Solis  35:18 

Every insurance plan is different and has different things that cover and don’t cover and every individual person has different coverages and different deductibles. Many vaccines, a large majority of patients who walked into my pharmacy to get a vaccine, many effects that those vaccines are covered for either a zero copay or a minimal copay, but not all insurance plans cover vaccines. In the case of children, ages 18 and under, there’s a federal and state program that helps cover vaccinate children aged 18 and under whose insurance does not cover vaccines. And in Texas, that’s the Texas vaccines for children program but they As part of a federally mandated program of bits available across the nation called the vaccines for children or VFC program in allowing pharmacy your doctor to administer a vaccine at minimal or no cost to the patient that is uncovered. So that program was developed at a federal level to make sure schoolchildren were able to get immunized when they couldn’t afford it when their insurance coverage did not.

Marilena Grittani, RPh  36:27 

Okay, so let’s just talk about two more things that I don’t want to forget, because we’re almost done with this, but I want to talk about two specific things. One of them is why is the vaccines started later in age like the pneumonia vaccine.

Dr. Angela Solis  36:45 

Okay, so good question. And in the case of the pneumonia vaccine, there’s two different pneumonia vaccines. One of those vaccines is given to children even to infants, but the other one has there have not been studies on the safety or efficacy of giving it to young children, nor are young children now is likely to develop pneumonia. Because of the one vaccine they do get adults over the age of 65 are now the most likely persons to develop pneumonia. So persons over the age 65 may never have been immunized as an infant because that one pneumonia vaccine wasn’t available then. But today, and persons on Medicare are now covered 100% to get both of their pneumonia vaccines at no charge, because it’s so important to decrease pneumonia rates among patients, elderly patients. So at age 65, all like patients aged 65 are recommended to get one of those pneumonia vaccines and then there’s another different pneumonia vaccine which they get one year later. And that decreases the incidence of you if you’re over the age of 65 ending up hospitalized with

Marilena Grittani, RPh  38:00 

So, if this is related to the the awful virus, the COVID-19 if it attacks the lungs and ammonia is in the lungs and we have that vaccination, why are so many other people dying then?

Dr. Angela Solis  38:17 

The pneumonia vaccines that are currently developed one covers 13 different strains of pneumonia and the other covers 23 strains of pneumonia. But even the combination of those two vaccines does it cover all kinds of pneumonia and the type of pneumonia that’s originally developing in some Coronavirus patience is a viral pneumonia that is not covered by those vaccines.

Marilena Grittani, RPh  38:43 

And it’s simply because it’s a new virus and there is no time there’s not enough time to study the vaccine to get it developed for us to get it and again and that

Dr. Angela Solis  38:53 

coincidentally though, patients who have been immunized with the pneumonia vaccine are less likely to develop a secondary bacterial pneumonia if they’re first hospitalized with a viral coronavirus, pneumonia, because pneumonias can worsen and other infectious agents can then add to the pneumonia and cause a secondary type of pneumonia. So if you’re over age 65, you really ought to be immunized with both of those pneumonia vaccines in today’s Coronavirus environment, to protect your health and make it more likely that you won’t end up in our secret.

Marilena Grittani, RPh  39:31 

Yeah. And they’re called opportunistic infections, which is they wait until you are weak and your immune system is busy doing something else and they just attack you and that’s why we call it opportunistic because they’re mean like that. So that clarifies that a lot, but then going back to the not having enough time to get the vaccine already done, go back to Episode 17, TheLegalDrugdealer.com/17 because I talk in detail about that. We Have a lot of time that is needed to develop these vaccines and even when they’re out in the market, they continue studying them to get enough data. And Angela have mentioned today so many things about that. One of them is the safety. The other one is how long do you get immunity? How long you need to wait until you get a booster? Or why do you need to get a booster so all those details are determined when scientists and people that develop a vaccine are studying these healthy people or people that were exposed to the whatever they were vaccinated against, to see how they reacted to understand how they needed to tweak the vaccine to make it more effective and feasible to get the immunization. So understand that a vaccine development process is not like somebody says, Hey, give me a vaccine and it appears nobody has a magic wand for it to work and is the responsible and serious and and there’s so many rules that you need to follow to get it done the way that it needs to be. And it’s not that we’re being mean and that we don’t care about people that are dying scientists are working really, really, really hard not stop with this, all the resources that they need are available now because there’s too many people getting sick. And next year, we’re going to have a bunch more. So we need to work as fast as we can to get it done. So just just study and get the information right before you think that is a conspiracy or whatever else. Talk to your experts. That’s my my point. Okay, so talk to me about in the US, we have, we follow the CDC guidelines, which is the center of control and this is prevention disease, but in the world is the WHO  which is the World Health Organization. So for those listeners that are not within the US, that is the what they most of the countries follow, but they might have their own entities that have their own programs. And that’s where those vaccines that you have to use for those countries that required are from Is that what it is?

Marilena Grittani, RPh  0:00 

Problem. Is that what it is?

Dr. Angela Solis  0:03 

Yes, yes. Who does worldwide develop recommendations on Immunization? And for most of our listeners are probably in the US, I presume, there. So I’m going to provide links. as a as a part of this podcast, to the center for disease control’s easy to read, published in a format that’s able to be translated by someone who’s not a medical person. There’s an easy to read child vaccine schedule, and easy to read adolescent vaccine schedule that includes things like meningitis vaccine, which is so important for adolescents and college students to get and an easy to read vaccines recommended for adults. And so I will publish links to those schedules as part of this this podcast.

Marilena Grittani, RPh  0:50 

Yeah, they will be on the show notes for this episode, the same way that everything else is going to be TheLegalDrugdealer.com/20 because That is the number of this episode 20. So TheLegalDrugdealer.com/20. Now, one more question before we go. I said I had two but is three. How about that vaccines for teenagers? That is so controversial.

Dr. Angela Solis  1:16 

Oh, HPV must be HPV papillomavirus vaccine

Marilena Grittani, RPh  1:22 

and Brandon data permission for the kids to have sex or early. That’s what they’re given it at nine 911 Hello.

Dr. Angela Solis  1:28 

That’s why it’s controversial. HPV is purpose is to prevent development later in life of certain types of cancers, such as cervical cancers and, and in other cancers in males as well. So, those cancers are transmitted by a virus, the human papilloma virus that occurs after sexual activity from one person to another that virus is transmitted later in life and that might be 10, 20, 40 years later in life, that person who’s been harboring that bio, that virus ever since they were exposed to it is more likely to develop certain types of cancers. We can’t predict when the first sexual encounter for a young person will be. And for many young persons that might not be until they’re 18 or older, but for some people, that’s not true. sexual encounters occur younger than age 18. children get molested, etc. And so the vaccine series is now recommended to begin at age 11, or 12. Because the vaccine is most effective, if given before sexual activity ever occurs. So preemptively, the vaccine schedule now has either a two dose or a three dose schedule beginning on depending on the age when you start the vaccine, a two dose or a three dose schedule and that is recommended to begin at allegedly 11 or 12. Just in case that child ends up being a child who has a sexual encounter earlier in life,

Marilena Grittani, RPh  3:07 

and also, it needs time for the vaccine to actually be active. So the immune system is, you know, has the roadmap and then you can attack that exposure. Because remember we humans are all different even if we are identical twins we are different and maybe they immunity for me builds up super quick after I get a vaccine before you It takes a year or longer. So the sooner you do it, the better because that way you guarantee that that kid that is the love of your life or one of them. One of the loss of your life is is guaranteed to do to be protected against this. It also causes a lot of infertility is the cases with this. That could cause infertility. So if you want to prevent what could happen in your kids in the future Whether they’re boys or girls, because they’re sexually transmitted and they, it’s a symptomatic, you don’t know that you have it, and then you can transmit it to others. And then you never know who the partner is. It happens everywhere. It happens to all of us. We thought we were in love and these people were using us or the other way around. We know we don’t know. And then that’s how it gets transmitted. So the risks of being infertile or to have cancers too big to pass this vaccinations.

Dr. Angela Solis  4:27 

So I tell pay parents, this is not a permission to have sex vaccine. This is a prevent your child from developing cancer vaccine.

Marilena Grittani, RPh  4:35 

Yes, this is a way to show them that you love them. Okay. So tell me something. Is there? Is there a way that you can counsel or talk to any patients that might want to clarify anything that you have said or maybe you have neighbors in the city of Austin, where you have your your pharmacy or in Texas? How could they contact you

Dr. Angela Solis  4:57 

and our website Martinswellness.com is the website for the pharmacy that I work and we have information on that website about vaccines as well. But also there’s a link on the website where you can send an email. And that email can be forward forwarded by the person who reads our, our website emails directly to me. So you can contact me with any questions or concerns that you have about the vaccines.

Marilena Grittani, RPh  5:30 

So those who live in Austin, including my son that lives there, they have the luxury to have Angela in their community. And that pharmacy is huge. And it’s so beautiful and he has like, it’s like a department store pharmacy, isn’t it? You have an area for shifts for diabetic patients, you have a wellness area, you have your area where you do your your tests and examinations there where you have the regular pharmacist stuff like the one that we see everywhere. And then you have the lab. Oh my god, I love you. Okay. The left

Dr. Angela Solis  6:00 

Yes, yeah. And we have an immunization office too.

Marilena Grittani, RPh  6:04 

There you go.

Dr. Angela Solis  6:06 

You can go into private office and get your vaccine, you don’t have to sit out in the public waiting room and get your shot in front of everyone.

Marilena Grittani, RPh  6:13 

If you continue like this, you’re going to be a medical center very soon.You’re just taking care of your community.

Dr. Angela Solis  6:19 

We are so go to Martinswellness.com, and click on the email link. If you’d like to get in contact,

Marilena Grittani, RPh  6:26 

I will put that also in the notes in the show notes, TheLegalDrugdealer.com/20 for TheLegalDrugdealer.com/20. So anything else that you want to mention that we haven’t talked about it? Or maybe you want to recap for the listeners about vaccinations?

Dr. Angela Solis  6:43 

I’d like to recap that some persons have fears of vaccines. So what are the adverse effects really that you can expect? This the Center for Disease Control has published this series of publications called vaccine information statements. and we are required to give you this two page vaccine Information Statement. It’s a two page statement of published data about the risks and likely adverse effects of any vaccine. So read that v is that your pharmacist or doctor provide you before you get the vaccine? Ask questions. Most vaccines have very little chance of adverse effect any more than slight soreness of the arm or in the cases of the leg that the vaccines given into slight soreness for a day or two. Occasionally, tiny low grade fevers, especially in a young child that’s getting three or four vaccines at one time. But beyond soreness for one or two days, low grade fever for a day or so occasionally, most vaccines have very little likelihood of side effects. Can the flu shot give you flu No, the flu shots not a live vaccine. It is an inactive vaccine, inactivated vaccine. And the virus in that flu shot is inactivated such that it can’t replicate and cause the flu. It might make you have a sore arm, it might make you feel achy for a day. It’s not going to make you be flat on your back for a week to 10 days like the flu. So a little bit of prevention, even if it causes a little bit of soreness of your arm for 24 hours is worth a pound of medicine in terms of making me be violently ill, such as people are when they get the real flu or when they get pneumonia and get hospitalized or when they develop Coronavirus around a commission for two weeks or more.

Marilena Grittani, RPh  8:44 

And they could it’s not only the pain of the being in your back. It’s also the costs because if you end up in the ICU, that bill is going to be humongous. Okay, well thank you so much, Angela. again for all your knowledge and all the expertise that you bring to our podcast and thank you for helping me educate my listeners about vaccines. We are not trying to be controversial. We’re just trying to be as we are scientists and educate the community with what we know and what we have. And I know you’re trying to protect your kids, but you need to be mindful of what protection means and and do the right thing for them and the population of this planet because as this virus showed, we’re together and it doesn’t matter if you’re small, told, chubby, skinny, all younger breacher or whatever very poor, Will our expert we have the potential to be affected by this and this virus is not going anywhere? Most likely, we’re going to have it Backstrom next year. So please, please take care of yourself. get educated. Learn, study, ask questions, and ask and study and listen to experts. Don’t do it on the Facebook group because those people don’t No, do it with experts, people that truly know what they’re talking about, like Angela in this case.

Dr. Angela Solis  10:06 

And Marilena in this case,

Marilena Grittani, RPh  10:08 

what thank you for that. I appreciate it. So thank you so much. Have a wonderful rest of your day. And we will talk again, thank you

Dr. Angela Solis  10:15 

stay healthy and stay well.

Marilena Grittani, RPh  10:18 

So what do you think? packet of information as I said, right. She is so good. She knows so much. And then she has a way to transmit it in such an easy way that is very simple to understand. But without wanting to be controversial, I 100% set what I feel is the right thing, based on all the education and all the clinical studies that I have read throughout my life and what vaccinations have supported for our kind for humankind in the past, I don’t know 80 years or more. So I would appreciate If you listen to this weather if you’re not a vaccine pro person, but listen with an open mind and listen to what we have to say, and maybe your concepts or the ideas that you had in your mind that need to be a little bit reviewed because you have missed information, or simply you never did enough research to understand and if you have any questions you know what to do, just email me your questions at comments at TheLegalDrugdealer.com. Don’t forget to get your show notes at TheLegalDrugdealer.com/20 which is this episode number and you will have all the links that we talked about. And also the information in general about where Angela works. If you live in Austin or close to Austin in Texas, you can go visit her personally there. So that is it for this episode. Thank you so much for listening. Please don’t forget to subscribe. To the podcast, give us a review. Remember that reviews are very important when you start looking for podcasts and you read good reviews, do you feel motivated to listen to it. And if you think that there is people that would benefit from the content that I’m bringing to you every week, I would appreciate if you recommend them. And if you write a review, it will be even better. Thank you for that in advance. Again, if you have any questions, just send them to me comment at TheLegalDrugDealer.com And I will respond to you directly or maybe end up making an episode about it. Who knows.

Also visit our website, TheLegalDrugdealer.com and then see what I have there for you and other stuff that are coming that I keep working really hard on and I think you’re gonna really like it is coming up together. It’s coming together. It’s coming together in a really good way. I think that we’re working on something that is going to be definitely innovative and something that nobody has have done in this particular subject before and I’m very excited about that. I love to be a pioneer and I love and I seriously believe in what we’re doing. And I truly hope that it gets through you, my listeners and other people that you want to invite to participate on that project. And you learn from it. Don’t forget to sign up for our mailing list, so you don’t miss any information. Part of the project that I’m talking about is going to get to you via email. So make sure you sign in and you do get into our mailing list, you just have to go to The LegalDrugdealer.com/contact and then after that the information will be there. Or you can also do it in this podcast or any pages that you go on. My website has the mailing lists at the bottom. Okay, so next week, we’re going to have part one of two episodes 21 and 22 that are with a friend of mine, that is also podcaster. Berta physician, her name is Joanne Jarrett, she’s been here before and we are going to talk this time about a two blog posts that she wrote in past. That is specifically about the first one is the the 13th things that good doctors think that you should know as a patient, it will blow your mind. Because you never think about any of this. And personally, I don’t. And I work with doctors almost every day. So for me what’s really eye opener, the fact that she talks so openly to it and in such a candid way, makes it easy to understand and kind of put in your mind as the what really what it is. So I hope this helps you and then Episode 22 or the second part of this two series is the other 13 things that good doctors would like you to know. And that came because the first blog post that she wrote, went a little bit viral and a lot of doctors from all over the country start emailing her and they give her more suggestions of After she should include and that’s what she did the other 13 so that’s what we’re going to talk about in the next following episode that is Episode 22. So the next two episodes are going to be super interesting and I think that you’re going to really like it. We decided to do this two series episode for you to think about physicians as a people as individuals, like a person, not like a robot that knows everything that concept needs to go away and is part of what I’m working to get you ready for the project that special project that I’m developing that I know you’re gonna love, but I need you to get to the mindset of doctors or people doctor are reliable, but doctors make mistakes too. And doctors, not all of them are good, not all of them know everything and this 13, 26 rather, things that Joanne and me discuss are going to be very very eye opener for you so please don’t miss them. And we have fun as always join is such a delight to talk to and we have left so much That I know you’re going to have fun with us as well. With that I am done. But before I go on just in case no one has told you today, I wanted to take a minute to remind you of how awesome you are. And how lucky are those that have you in their lives. Thank you for being the awesome you that you are. wonderful rest of your day.

This is Marilena Grittani, The Legal Drug Dealer. Bye for now.

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