mRNA Vaccines

I was planning on writing a more detailed post, complete with images and citations, but I’ll be honest, I don’t have the energy or time right now, so this will be simpler than I’d like.

One of the claims some people have made about the mRNA based Covid vaccines is that they alter your DNA. This basically isn’t possible. But I want to delve a bit into why.

We’ll start with something often called the Central Law or Dogma of Molecular Biology. I’m going to paraphrase it at first: Information passes from DNA to RNA to Proteins and never in the opposite direction. I’ll explain why this is mostly true and why it is vitally important to understand when it comes to the mRNA based proteins. But first, some definitions.

We’re all probably familiar with DNA, the double-helix first observed and described by Rosalind Franklin and later better described by Francis Crick and James Watson. This is where genetic information is stored. In computers, we think of data as stored as bits, 1s and 0s. DNA is similar, each “lattice” in the ladder is made up of a pair of AT (Adenine/Thymine) or GC (Guanine/Cytosine) molecules know as base pairs. Whereas in computers we’re often dealing with bytes which is a group of 8 bits, DNA is grouped as three base pairs at time.

Image courtesy of Wikipedia.

But what’s the purpose of these three base pairs? I’m going to overly simplify, but an entire strand of them makes up a chromosome. (Humans have 46, 22 “identical” strands and then a set of XX or XY strands. Identical is in quotes because sometimes when replicated, errors can creep in creating a mutation. And of course some people have more than 2 of each, such as Trisomy 21, aka Down Syndrome, or even XXY, or can be missing one of the pair, such as X0. But that’s beyond this post.)

But three base pairs together can encode later for amino acids. Amino acids make up proteins.

Within each chromosome are multiple genes. Genes are what make you look like you and be human. You have genes for example that control your blood type, hair color, and more.

That said, two things can happen to DNA: Replication and transcription.

Replication is necessary when a cell divides and basically the entire chromosome is duplicated so each cell has a copy. This is extremely interesting in and of itself, but again, beyond the scope of this article.

What we care about here is transcription. This is when part of the chromosome, specifically a specific gene is accessed in order to make a protein. This can get fairly complex and honestly, we’re learning new details about how genes can be activated and used all the time. (For example, so called “Junk DNA”, i.e. areas that don’t encode for genes, turns out that can be very important too and it’s not junk.)

So, before I can get into why mRNA vaccines can’t alter your DNA, let’s dive into a bit more how a protein is made and how this related to vaccines.

An important detail to keep in mind here is that in what are called eukaryotic cells (which is what makes up almost all multicellular creatures, including you) chromosomes are within the nucleus of the cell. It’s difficult for anything to get in or out. Basically there’s a wall around them with closely guarded gates.

That said, the nucleus receives a signal that a particular protein is needed. So, the particular chromosome, which is normally very tightly wound unwinds at the location of the gene needed for that protein. Then a special enzyme (and they are different between eukaryotic and prokaryotic cells i.e. single cell bacteria and the like) called RNA Polymerase that starts to “walk” the gene and create what’s known as Messenger RNA or mRNA (see we’d get to this eventually).

When it’s done reading, this new strand of mRNA leaves the nucleus and goes into the cytoplasm of the body of the cell. There, “molecular machines” known as ribosomes will latch onto it. These actually come in two sizes, large and small. You have millions of these in each of your cells. When a piece of mRNA is floating around a large and small ribosome will clamp to the “start” end and start to read it. As they read it three base pairs at a time, they will attach the amino acid that matches that 3 base pair encoding. This amino acid is brought to the ribosome unit via something known as Transfer RNA or tRNA. Once the end of the mRNA is read, the ribosomes come apart and the mRNA may be read again or destroyed. (I won’t get into the signaling factors that control this, but the key part is eventually all mRNA gets destroyed and its base pairs typically used for other purposes.)

The created protein may undergo other transformations and be moved to other locations within the cell, to the surface of the cell, or even ejected from the cell.

And that his how a protein is made. Notice the direction matches what I said above DNA->RNA->Protein. It’s one way.

But what keeps it from going the other way? That’s really the question here.

Let’s start by stating up front that your DNA DOES in fact contain genes that apparently came from viruses. So that central law obviously has an exception. But what makes that exception?

Specifically it’s an enzyme known as Reverse Transcriptase. Humans sort of have a form of this, but it’s used for a very specific (controlling telomere length during replication). There are a few other weird things that could do something like this, but basically for the mRNA Covid vaccines they don’t. The simplistic reason is that the mRNA vaccines don’t include the encoding that is required for Reverse Transcriptase to start its work. It’s sort of like a guard asking for the password to get into a military base. If you don’t have it, you’re not getting in.

Moreover, an mRNA vaccine encodes for a specific protein or proteins. That’s it. It doesn’t contain enzymes like Reverse Transcriptase, nor do the mRNA segments contain the encoding to allow for any form of reverse transcriptase. Even if somehow DNA was formed from them, it would then have to make its way into the nucleus (which is very difficult to do) AND the be incorporated into an existing chromosome. This just beyond the point of believability.

But, let’s say somehow it DOES happen. You know what the most likely result is? Nothing. Your body has no reason to activate such a gene. It would sit there like other inactive genes doing nothing.

So, for those who read this far, or who skipped the end, your cells and the mRNA vaccine for Covid simply does NOT possess the mechanisms to incorporate the the vaccine into your cells and even if it did, the net result if anything would be nothing.

The Next Decade

This past week I visited an open house at the PA school I’ll be attending starting in late May. It definitely made things feel very real. It almost reminded me that I’ll be the oldest there by far. This gives me a feeling of cognitive dissonance.

On one hand, often when I’m at work, or when I was taking classes, I feel very young, often decades younger than my chronological age. One of the best compliments I received from a fellow tech was, “Greg, you run the techs in their 20s into the ground.” The tech saying it was herself in her 20s.

And the idea of going back to college makes me feel pretty young.

That said, the reality is, I’m entering a career that while will probably last me the rest of my working life. But I at most probably only have a decade in it or so.

I’ll be 57 when I enter school. I’ll be in the didactic phase for 12 months.

That makes me 58 when I finish the first half and start my 12 month clinical phase.

This means I’ll be 59 when I graduate and take my PANCE (the certifying exam that officially makes me a PA and allows me to practice as one.)

Many people plan on retiring at 65. I have never really had that as a goal. I figured I’d want to keep busy beyond that, even if I ended up working at a more relaxed pace.

But the real limit may come when I’m 69. PAs have to basically take an exam every 10 years. The honest truth, as I approach that date, I’ll have to give it some thought if it’ll all be worth it. Perhaps it’ll be the sign to retire. But also, working in the ED (as is my current plan) requires a certain physicality that at 70, I’m not sure I want to deal with. And while PAs can make lateral moves, I’m not sure what other specialties I’d enjoy.

So, we’ll see. Do I make it the full 10 before retiring? Do I re-up? I can guarantee I won’t be re-upping when I’m 79! (Unless someone discovers the fountain of youth!).

So if I have one regret about my approach PA career, is perhaps I should have done it decades ago.

But in the meantime, I’m going to enjoy the living hell out of the time I’ll have for it

ED Teching vs My Future – A Step Forward?

Over the coming weeks I’ll probably cut back on my hours as an ED Tech. And I have mixed feelings about that. The main reason being is I’m picking up some IT consulting work that pays a lot better and well, I’ll be honest, the money will help pay for me being in PA school.

Originally I had two goals when I tried to get a job as a tech in the local Emergency Department. The first was to gain the Patient Contact Experience that most PA schools require in order to apply. The second was to confirm whether I really wanted to be in Emergency Medicine. I was able to confirm the second goal fairly quickly.

As for the hours, every school had different requirements, from as few as 200 hours to as many as 1000 hours. Of course the minimum is different from the average and most schools only accepted students who were closer to the average number of patient contact experience hours.

I was able to quickly surpass the 1000 hour minimum within the first 6 months or so of me working in ED (this despite being in theory only a .6 FTE). Obviously that wasn’t enough for my first cycle (and most likely other factors). By the time I applied for the second cycle, I was at over 3,000 hours. I’m now at over 4,000, probably 4,500 hours and odds are I’ll be at close to 5,000 by the time I leave the job. (Edit: I looked through my old pay stubs, and turns out I’m actually over 5,000 hours now, so probably will be over 5,500 by the time I leave.)

In his book, Outliers, Malcom Gladwell cites a “10,000 hour” maxim which basically states to become an expert at something, one needs to spend approximately 10,000 hours of training for it. If it’s accurate, there’s a lot of question about the accuracy of this rule, then I suppose I’m half-way to being an expert. That said, I’m not really sure what being an expert tech means.

However, looking back, I definitely think my extra time in the ED as a tech was well worth it. I’m a far better tech (at least in my mind) than I was 1 year ago, let alone 2 years ago. (Though strictly speaking 2 years ago I was just off orientation). And that extra experience I think will go a long way to helping me in PA school.

Partly it’s a matter of confidence. Partly it’s a matter of skill. I appreciate that my place of employment is a teaching hospital and encourages a team approach. I’ve been in cardiac codes where the attending will run through what we’ve tried and ask, “anyone have any suggestions.” And they truly mean anyone, even a tech can speak up if they feel inclined. In other situations I’ve offered advice and had it accepted. I’ve actually had nurses and providers ask for my input or to help with some more advanced procedures.

I find I really enjoy doing the ED Tech work. And it’s made me both want more and not want more. I’ll be taking a two year gap (other than perhaps some per diem work) from working in an ED while I get my PA degree. Once I have that and pass the certifying exam, I’ll be a PA-C and be able to do a lot more in the ED than I do now. I’m excited about that!

But, I also look at the downside: being a tech, when my shift is over, I do about a 5 minute hand-off and I’m done. There’s no paperwork. There’s also no paperwork during the shift. It’s pretty much all hand’s on. Once I’m a PA-C, it won’t be that easy. When my shift officially ends, I’ll be responsible for paperwork and doing a more extensive hand-over. And, of course during the shift, I’ll be responsible for discharge paperwork and a lot of non-hands on work. I’m…. at best ambivalent about that. But, I suppose it comes with the terrority.

That said, I’m still excited about the next few years!

A Thought on My PA Journey

When leaving work last night, after a long 16 hour shift, a thought crossed my mind. Even if somehow I don’t succeed at PA school (not something I’m actually too worried about, and not really the point of this post), the last 3 years have been worth it. Almost exactly three years ago I was busy getting the paperwork done to start taking classes at the local community college. The first three classes I signed up for were Biology 1, Intro to Psychology, and Anatomy and Physiology I. I was nervous and excited. It wasn’t easy balancing my work and school schedule, but fortunately my consulting job gave me flexibility. Within the first week I realized how much I enjoyed being back in the classroom. I was in my element. I love learning. And I loved specifically learning these topics, especially Anatomy and Physiology. In fact, besides A&P, I really enjoyed Organic Chemistry (a sentence I never thought I’d write or say) and Biochemistry and Genetics. I’m actually thrilled most schools required these in order to apply, since by the time I had finished them, I had a much fuller understanding of how things happen inside our bodies. It’s been a thrill learning these topics.

As I’ve mentioned in the past however, taking classes was the easy part. I simply had to sign up. Getting the required hands on experience took some effort. But I quickly realized I was where I needed and wanted to be. This is evidenced in part by the fact that in 2023 I worked over 2200 hours in the Emergency Department (on top of my consulting work and taking classes) and in 2024, over 2400 hours. I’ve commented before that my IT consulting pays a lot better, and honestly has better hours. But I love what I do in the ED.

The stories I tell (some say bore) others are often the more interesting ones, but even the nights where nothing interesting happens and it’s mostly handing out blankets, performing ECGs and the like are fulfilling. For every shift I do CPR on a patient (and this week for some reason was a busy one, 4 out of 5 shifts I performed CPR compressions on a patient) there’s probably 10 where I’m only going ECGs and finding nothing noteworthy. And I’m OK with that. It’s still patient contact. It’s still making connections with another human being.

Despite biking and hiking less in the last 3 years than I’d have liked, I honestly have been busier and more fulfilled than I have been in years.

I know if I had done nothing but IT for the past 3 years, I would have been richer financially, but been less rich in terms of fulfillment.

The past 3 years have reinvigorated me and made me feel younger. It’s been worth it.

I can’t wait to see what the coming years bring!

So my advice to folks in the new year, especially those later in life like me, branch out. Be brave. Do something different. You don’t have to be drastic like me and change careers, but take a class, start a new hobby or something. It’ll be worth it.

Happy New Year!

2025 A Year in Preview

In keeping up my tradition of setting some goals (not resolutions) for the new year, here’s my hopes for the coming year.

  • Succeed at PA school – I managed the goal of getting in. Now the next goal is actually succeeding! I know it’s not going to be easy and I think I’m prepared. As I’ve said to others, come May, my full-time job will be being a student. I haven’t had that “job” in 35 years! So this should be interesting!
  • Travel – I want to get in at least one road trip before school starts. I don’t have details yet, but I hope to figure this out soon.
  • See Friends/Make New Ones – One detail about PA school is that I’ll be 4-5 hours from home. So I’ll be relocating for the next two years (the first year is all classroom room, the second is clinical rotations). So I hope to see some of my local friends, and make new friends among my classmates.
  • Biking – Yes, I definitely hope to get some in. I’ll be bringing my bike with me to school. It’ll just be a matter of finding time to do it. Fortunately I won’t be working night shift, which means I’ll be awake during the day.
  • Get our new septic system – Yes, again a goal.
  • Several projects around the house – this will be limited by the amount of time I have between now and May. So we’ll see.
  • That’s about it. Honestly, as long as I succeed at my primary goal, I’ll be happy and content.

In the meantime, check out how I did last year.