It seems like a no-brainer but Loyola spells it out: https://www.loyolamedicine.org/about-us/news/covid-vaccine-requirements-lung-transplant-patients

I totally missed this. I never expected Bill Maher, one time liberal comedian to go Antivaxx and Anti-medicine. Didn't he credit the vaccine in 2021 for helping him: “I assure – and thank – all well-wishers I was never sick and feel great (undoubtedly the shot) and will be back next week.” Onstage Friday night, Maher said the vaccine “probably” helped him not get sick. “Did it help? Probably? I don’t know. We don’t know. Yes, probably. I don’t know,” he said. “You know, most people who got the thing never got very sick. Less than 4 percent went to the hospital — I know media doesn’t like to talk about that! It’s something to be respected? Obviously, yes. And so, good. The point is, I had it!” He also marveled at people wondering how he could have tested positive if he was vaccinated. “It happens! They never said it was 100 percent effective,” Maher said. HOW QUICKLY THEY FORGET!!!

Some antivaxxers claim that mRNA vaccines were rushed. Perhaps at the last minute they were. However the development of mRNA vaccines is a long and twisted tale well told by this article from this News Feature article in NATURE. Malone, famous for his antivaxx stance, was just one of perhaps thousands who paved the path for this life saving vaccine technology's development from rudimentary bio-science to a final produce over many decades. Fortunately, for those of us in humanity that trusted their work, the final result, the amazingly effective and safe mRNA vaccines, came just in time...

My first disclaimer is that pulmonology and critical care medicine are not my specialty. I am formally trained in Pediatrics with a subspecialty in Sports Medicine (all ages). That said, this article from about 5 months ago caught my interest because it takes a comprehensive look at the pathophysiology of COVID-19 pneumonia with new eyes and fresh perspective. It exposes many of our misconceptions about what we once thought was happening in the lungs of the afflicted, to where we are now in our understanding. Granted, this is complex information and is best suited for medical professionals (physicians, ICU nurses, perfusionists, RT's, etc) but can be understood if you have had basic college level biology and physiology. What should you take from this paper. 1) understanding about this disease is evolving as it is different from diseases we that seem similar on the face but are really quite different. 2) treatment and what will work and what will harm vary greatly depending on the patients station through the course of the illness. 3) learning about how to best treat this disease is an ongoing process and we currently do not have all the answers. What is the relevance to SAV? Answer: There is no way on earth that any untrained family member, like we typically see in these SAV cases, could possibly even be able to scratch the surface of the complexity of the management of severe COVID-19 disease. The best physicians in the business are learning every week what works and what doesn't and the jury is still out, and will be for sometime. While I have sent patients to the hospital and to the ICU with this disease I do not manage them nor do I try and second guess my intensivist colleagues who do. I truly know that their hearts and minds are in the right place and that they are doing everything within their power to heal and save my patients and return them to their families. However, as we can see from this paper, not everybody is going to respond to the treatments we have, nor can we currently save everybody. The keys to the lock box on this have not yet been made. Family members and the general public need to see just how complex caring for this disease is, what goes on behind the scenes at developing and modifying the best treatments to date are complex and extremely difficult. Nobody I practice with in our health care system is willingly out to harm patients. We want them all to go home to their families even if they were not vaccinated, even if they are victims of misinformation and even if we do not agree with them socially and politically. We leave our bias at the door, do the best jobs we can, often with little rest or sleep and sincerely hope for better days to come. I hope we do have some pulmonologists and intensivists on this forum who can critically comment on the materiel in this paper. I would be most interested in hearing your thoughts and experiences...