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Oak Tree Pediatrics

2009 H1N1 or Swine Flu

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Posted Dec. 3, 2009 11 AM
 
Flu vaccine update-
We now have both the seasonal flu vaccine and the 2009 H1N1 flu vaccine. Everyone gets flu shots We will now vaccinate any of our patients who want the seasonal flu vaccine and the 2009 H1N1 flu vaccine. In my professional opinion, all individuals under the age of 50 should get the 2009 H1N1 vaccine. The last time this particular strain of flu was wreaking havoc was in 1957. That means yours truly probably had it as a kid (along with measles, mumps, and pertussis). But those ten years younger than I have not. Despite the annoying production delays, more and more vaccine should be available in the next months. Please get the 2009 H1N1 vaccine. I will be happy to give any woman who is pregnant the 2009 H1N1 vaccine, whether or not her children are my patients. I feel that everyone should get the seasonal vaccine also. The short answer why I recommend that everyone get the seasonal flu vaccine is that every year, 36,000 people die of the flu. 
 
Please remember, as far as the 2009 H1N1 vaccine is concerned, all children 9 years of age and under will require two shots of the vaccine, four weeks apart. This is whether or not they have received flu shots in the past. That is another example of the importance of the kids getting the 2009 H1N1 Influenza vaccine. Unlike some of us "seasoned" citizens, their young immune systems have never seen a flu virus like this. They need two shots to mount a good immune response.
We also have seasonal flu vaccine for the kids under 3 years. So please make sure your children under 3 come in for their shots sooner rather than later. And
remember, if they never have had a flu shot before, they will need two shots. each shot should be separated by 4 weeks.
 
The stock phase that the CDC has been using relative to the flu is that each flu season is unpredictable.That seems to apply to the vaccine availability as well.
 
Any questions, please call me.
 
Dr. D.
 
 
 
 
 
 
  

 Posted Nov.16
How to avoid it, and what to do if you get it.
 The 2009 H1N1 Influenza, AKA Swine Flu, is hitting the area hard.
To reduce the chance of getting it, recall what your Mom always told you.
Wash your hands, frequently. Cover your cough with your arm. Take a good multi-vitamin with the micro-nutrients. Get a good nights' sleep. Take time to relax and de-stress. And I'm going to add- gargle with salt water or mouth wash at night.
 
Now, if you get the lousy thing, don't despair. We have plenty of Tamiflu. And there are always things you can do to speed your recovery.
Take you vitamines. Take extra vitamine C daily for a week. Gargle with salt water thrice daily.  Drink lots of fluids. But very easy on the alcohol. Get a good nights' sleep. (sound familiar) If you have a temperature, stay home.
About fevers. The fever is one of the body's major mechanisms for fighting off an infection. It is not the virus causing the fever. It is the body's reaction to the virus  or bacteria causing the fever. If you vigorously suppress the temperature down to the alleged normal of 98.6, you could prolong the illness. I suggest that if you or your child has an elevated temperature, and they are otherwise fine, do not give Tylenol. let the fever do its' job and cook out the illness.
Now, of course, this is your decision. If the temperature is 102.0, give the kid Tylenol. Also, I do not recommend Ibuprofen in this situation. That is Motrin or Advil. Ibuprofen can retard the immune systems' ability to fight off an infection. If you need to treat a fever, use Tylenol or a slightly warm bath. And make sure the kid drinks plenty of fluids.
Now, if you have a temperature, stay home. Don't give the lousy flu to your colleagues, your customers, your patients, your students, etc.
We will get through this.
 
Dr. D.

 
 

Posted January 7, 2010     
The 2009H1N1 Flu has been wreaking its havoc. The infection rates are slowing, but it is still no fun to get. The real problem for kids is they are at considerably increased risk for disease from this virus than the usual seasonal flu virus. Therefore, it is my recommendation that everyone under 25 years of age get the 2009H1N1 vaccine. I will continue to order and distribute the vaccine untill all of my patients are vaccinated or untill it expires. Please call for for an apointment if you agree.                                            Dr. D                                                                                                        

Updated February 9, 2010    
One of the more annoying and increasingly irritating aspects of the 2009H1N1 saga is the growing number of misperseptions about the vaccine and the outright myths conserning the 2009H1N1 vaccine side effects. Each one more outrageous than the last. I list here the responses I have gotten in my office to my question "Have you heard any new stories about the Swine Flu vaccine and it's side effects." I respond to the resonable issues. The more absurd ones I'll just leave you to shake your head over.
 
1 The vaccine is too new.          Actually, all Flu vaccines are "new" in the sense that the vaccine is made new every year. This is because the Flu virus changes every year. the regular seasonal Flu vaccine is just as new as the 2009H1N1 vaccine. The Flu vaccine we used last year was just as "new" then as this years' seasonal and 2009H1N1 vaccines are this year.
 
2 The vaccine has not been tested, or not tested enough. All Flu vaccines are tested  for efficacy and safety. This seasons vaccines are no exception. Now some people will insist that sufficient testing be done to ensure that a vaccine is 100% safe. No amount of testing can be done to call anything 100% safe. Not table saws, cars, space ships, or vaccines. But sufficient testing was done on the 2009H1N1 vaccine to tell us some important things about the virus. Children under 10 years of age require two doses of the 20091N1 vaccine to mount an acceptable immune response. This is whether or not they have received Flu shots in past years. The little ones' immune systems are naked to this Flu virus. Which further demonstrates the danger of this virus to the kids, and the importance of getting the vaccine. More on this later.
 
3 The vaccine was made too fast. There is also an implication in this perception that the manufacturers did not know what they were doing. The facts are that the production of the 2009H1N1 vaccine was actually somewhat slower than forecast because this virus grows more slowly than the seasonal Flu virus. You need virus to make vaccine. The slower the growth, the longer it takes to make the vaccine. And the vaccine was made by the same companies, on the same equipment, by the same technicians as the regular seasonal Flu vaccine.
 
4 The vaccine was made in a foreign country, and citizens of that country refuse to get the vaccine. Flu vaccine is made in several countries. All countries are recommending that their citizens get the 2009H1N1 vaccine. My vaccine is made by Sanofi Pasteur in Pennsylvania. 
 
5 One of the US Navy's warships had the whole crew vaccinated with the 2009H1N1 vaccine. Two days later half the crew died.   Honest folks, someone said this to me in the office.
 
6 After you get the Swine Flu shot, you have to be quarantined for thirty days  I passed this one on to the wife of one of my medical colleagues. She said, "Oh please, give me the shot". I presume she wanted me to give her husband the shot, too.
 
7 "The Swine Flu shot is part of the global conspiracy to depopulate the Earth."  This belongs in the Black Helicopter  sightings and the Area 51 group.
 
8 "The Swine Flu shot makes you go blind."  This goes along with all the other things we were told would make us go blind as teenagers. 
 
I will be adding to this topic as I get more responses. If you have any, please call me.
 
Dr. D.
                                                                                                

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