Twitter Facebook RSS Feed Print
Daily Dose

Get Your Flu Shot!

1:30 to read

I just had my flu vaccine!  Guess what - my arm didn’t even hurt this year.  I have also been reminding all of the pregnant mothers that I see to get their flu vaccines as well.  The current recommendation is that pregnant women receive influenza vaccine as soon as possible beginning after their 28th week of pregnancy (3rd trimester). 

When a pregnant woman receives her flu vaccine she is not only protecting herself, but also her baby.  Infants cannot receive a flu vaccine until they are 6 months of age…and for babies born during the fall and winter season, that means they will not be vaccinated until the following year. But when a mother has received a flu vaccine the infant is also getting protection via antibody that the mother passes to her baby across the placenta. 

In a 2014 study, the authors reported that “immunization of pregnant women with trivalent inactivated influenza vaccine (IIV3) was safe, immunogenic, and partially protected the women with a vaccine efficacy of 50% and their infants with a vaccine efficacy of 49% against laboratory-confirmed influenza illness during a 6-month follow-up post delivery ”. In other words, the infants in the study had just as much protection as the mother.

In a more recent study the authors now looked at how long the immunity lasted in the infants born to the flu vaccinated mothers. Surprisingly, the immunity was not as long lived as had been thought. The infants involved in the study were born an average of 81 days after their mothers were vaccinated with flu vaccine, and were monitored for influenza infection for about 172 days after birth.

Infants born to mothers who had a longer interval between vaccination and delivery had higher antibody titers. The infants’ antibody levels did drop off after birth and by 8 weeks of age the babies did not have significant antibody. Ideally, In order for babies to have better protection a mother would be vaccinated even earlier in her pregnancy, and studies are being done to look at this possibility.

Infants are especially susceptible to influenza and have a higher rate of complications as well as hospitalizations.  While the current recommendations for vaccinating pregnant women may not confer as much immunity to the newborn as was previously thought , there is very high protection for the first 8 weeks after birth. Any protection is preferable to none!.

Get your flu vaccine and if you are pregnant ask your doctor to give it to you as soon as you are in your 28th week.  The longer the baby is getting placental antibody the better!!

 

 

 

 

 

Daily Dose

Your Child's Check Up

1:15 to read.

How many times have I talked about my clever patients. I continue to be amazed at how smart my patients are…and how much they teach me….as well as how they make me laugh.  

I was seeing a young lady the other day who was complaining of a cough. She was about 11 years old. She was not one of my regular patients, as she was a patient of a partner of mine who was out of town, so she came to see me about her cough.  

So..I started asking her and her mother about her cough and quickly realized that she was more than capable of answering my questions ( the best kind of patient to have).  Her mother was great and deferred to her, as her daughter was doing such a good job with her history.  I asked her if the cough was problem during the day or night or both? She replied “during the day”. I asked her if the cough was worse when she was playing or exercising during the day? The answer was “no”.  I then started asking her about the quality of the cough…(I also had the benefit of hearing her cough while I was getting her history).  I then asked her if the cough was dry or if it was wet and “gunky”?  I was not sure if the would understand if I asked her if it was “productive”?  

Surprisingly , she looked at me and said , “do you mean do I produce phlegm?”.   There are many parents that don’t understand that word!!  Then realizing that she was quite bright and knew words that I swear I learned in med school (okay maybe undergrad biology?), I asked her if she could spell phlegm. Of course, she immediately spelled the word correctly!!  

She was delightful patient and is another example of “kids say the darnedest things”.  We had a great conversation and it was so helpful to be able to get a good history from her. The history is just as critical as the physical exam in diagnosing a patient… so a good communicator makes a doctor’s job a lot easier.

The only time she was not communicative…when I told her she needed her flu vaccine, and YES it was a shot! Sorry, but this is to keep you healthy.

Daily Dose

Do Essential Oils Boost Immune System?

1:30 to read

Although it is still hot and officially summer, soon everyone will be heading back to school  and coughs and colds (and eventually flu, another topic) will be just around the corner. I had a patient ask me about the use of essential oils. Her 2 1/2 year old daughter is heading to preschool for the first time and she “had heard from her friends that essential oils help a child’s immunity during cold season”.

Unfortunately, there is very little data at all to confirm that statement. I only wish that rubbing a bit of lavender oil on would help prevent the common cold. While it may smell great and be relaxing....there is no data that I can find to show that there is any reproducible science to the claims that essential oils boost the immune system.  

While I was researching I found many sites stating that “eucalyptus oil is an anti-viral” and “peppermint oil is an anti-pyretic (fever reducer)”.  Tea tree oil is touted as being “both anti -bacterial and anti-fungal” (I don’t know of other drugs that can claim both!).  But, I just don’t see any data to support all of this. 

The word essential refers to the essence of the plant the oil is derived from, rather than being “essential” to your health. While in most cases essential oils (which are highly concentrated) used as aromatherapy are not harmful for adults, it may be a different story in children, especially those under the age of 6. While labels may say  “natural” it may not always mean safe.  Many oils are poisonous if ingested and there have been reports of accidental overdoses in children with several different oils. In one report tea tree oil and lavender oil applied topically have been shown to cause breast enlargement in boys.  Oil of eucalyptus and peppermint are high in menthol and cineole.  These substances may cause children to become drowsy have decreased respirations.  While there are articles stating that the use of menthol (Vicks) on a child’s feet may be helpful during a cold for reducing a cough, do not use this if child is young enough to put their feet in their mouths. 

I must say that I sometime use a few drops of eucalyptus oil in the shower when I have a cold as I think it smells great and seems to help “open up” my head. Whether this is in “my mind” or a response from my olfactory centers which sends calming messages to respiratory center is not clear. But, I am not ingesting it or using it topically. 

 

Play
217 views in 3 months
Fight the Flu

The Facts About Flu Season

Play
21 views in 1 day

What's Going Around?

Daily Dose

Do Essential Oils Boost Immune System?

1.30 to read

Although it is still hot and officially summer, soon everyone will be heading back to school  and coughs and colds (and eventually flu, another topic) will be just around the corner. I had a patient ask me about the use of essential oils. Her 2 1/2 year old daughter is heading to preschool for the first time and she “had heard from her friends that essential oils help a child’s immunity during cold season”.

Unfortunately, there is very little data at all to confirm that statement. I only wish that rubbing a bit of lavender oil on would help prevent the common cold. While it may smell great and be relaxing....there is no data that I can find to show that there is any reproducible science to the claims that essential oils boost the immune system.  

While I was researching I found many sites stating that “eucalyptus oil is an anti-viral” and “peppermint oil is an anti-pyretic (fever reducer)”.  Tea tree oil is touted as being “both anti -bacterial and anti-fungal” (I don’t know of other drugs that can claim both!).  But, I just don’t see any data to support all of this. 

The word essential refers to the essence of the plant the oil is derived from, rather than being “essential” to your health. While in most cases essential oils (which are highly concentrated) used as aromatherapy are not harmful for adults, it may be a different story in children, especially those under the age of 6. While labels may say  “natural” it may not always mean safe.  Many oils are poisonous if ingested and there have been reports of accidental overdoses in children with several different oils. In one report tea tree oil and lavender oil applied topically have been shown to cause breast enlargement in boys.  Oil of eucalyptus and peppermint are high in menthol and cineole.  These substances may cause children to become drowsy have decreased respirations.  While there are articles stating that the use of menthol (Vicks) on a child’s feet may be helpful during a cold for reducing a cough, do not use this if child is young enough to put their feet in their mouths. 

I must say that I sometime use a few drops of eucalyptus oil in the shower when I have a cold as I think it smells great and seems to help “open up” my head. Whether this is in “my mind” or a response from my olfactory centers which sends calming messages to respiratory center is not clear. But, I am not ingesting it or using it topically. 

 

 

Daily Dose

Flu Season Continues

Another Monday in the office and Influenza B is here in full force. Seeing all of the kids (and many of their parents) who have succumbed to flu B this season reminded me that the FDA has already recommended that the flu vaccine for next year contain a different B virus strain than this year's vaccine. The Influenza B virus that is circulating in our area right now is not a good match for this year's vaccine. Fortunately, Influenza B is typically not as serious and as lengthy as Influenza A.

It seems that the flu vaccine this year was right on the mark for the Influenza A viruses that we have been seeing and provides good protection against flu A. The flu vaccine that will be made over the next months for distribution next fall will only vary slightly from this year's vaccine. The two Influenza A strains in this year's vaccine will remain the same while the B component will change from type B/Florida to type B/Brisbane, which is the strain that we have been seeing this winter. Determining the viruses to target in flu vaccine is always based on the epidemiology of flu strains that are circulating throughout the world. The strains must be chosen early in the year in order that manufacturers have a long enough time to ensure that vaccine will be available in the six to seven months ahead. Funny to already be discussing flu for 2009 - 2010 when we are still in the thick of the season for the current flu strain. Hopefully the season will soon be winding down. That's your daily dose, we'll chat again tomorrow.

Daily Dose

Too Many Antibiotics Prescribed!

1.45 to read

What are the sounds of the season in my pediatric office? Coughing, sneezing and wheezing.  It's upper respiratory season and I'm seeing a lot of viral illnesses.  

With the winter season in full throttle, no one wants to be sick, so parents and patients still “want” me to prescribe antibiotics for a plethora of viral illnesses “because it is a busy time of year, we are traveling and can’t be sick."  

According to a recent article in issue of Pediatrics, pediatricians write more than 10 million antibiotic prescriptions unnecessarily every year. Antibiotics won’t help a viral upper respiratory infection and in many instances might be causing more harm than good. That is sometimes a hard concept to explain to parents. 

Everyone wants to be well sooner than later. Parents don’t want to be sick and never want their children to be sick or feeling cruddy, yucky, pathetic or pitiful. We are the parents so we can "fix it” right?

Unfortunately, a virus is bigger than any concerned parent, and even an antibiotic won’t “fix it”.  In many cases the only cure is “tincture of time” and that is often bitter medicine to swallow.

An antibiotic that is prescribed for a cough or cold is typically broad spectrum and will kill good bacteria that are beneficial to our bodies. An antibiotic is not very specific and by hitting everything in your body it may upset the normal bacteria and lead to symptoms such as diarrhea or abdominal cramping.  

In many cases of a viral illness it may be more appropriate to avoid an unnecessary antibiotic and to “wait and see” how the illness progresses.  If a child has worsening of symptoms or a change in symptoms it is better to re-examine the child than to just prescribe an antibiotic.   

Unfortunately, fall/winter URIs do not go away quickly. In most cases, it takes 7-14 days to get over the congestion, cough, and sore throat no matter what you do.   

I have patients who are seen at outside clinics with a negative strep test, then given antibiotics and do not get any better. That good old Z-pack just doesn’t do the trick!  By the time I see them the sore throat has developed into a classic upper respiratory infection and the antibiotic has not helped at all.  Good rule of thumb: if you are told you have a viral infection, you should not be getting and antibiotic. 

Viruses are also quite contagious so it is not uncommon for the entire family to succumb to the cold. Keep up hand washing and good cough hygiene and don’t assume and antibiotic will help, it may do more harm than good!

That’s your daily dose for today. We’ll chat again tomorrow.

Daily Dose

Dog Flu Is Going Around

1:15 to read

Funny time of year for me to be blogging about flu?  Well, now it is “dog flu” that has been spreading across the United States.  Dog flu is caused by an influenza virus and is a contagious respiratory disease in dogs. There have not been any reported human infections with either of the viruses that cause dog flu.  The viruses are also of the Influenza A variety and cause symptoms similar to those seen in humans including cough, runny nose, fever, lethargy and at times severe respiratory symptoms including pneumonia. Sadly, there have been dog deaths reported due to this infection. 

Because dog flu is a fairly new virus now being seen in the United States, most dogs have never been exposed to this virus.  Due to this, just like new influenza types in humans, most dogs that are exposed (about 80%) may develop dog flu but remember most will have mild symptoms and just require supportive care including extra fluids and rest.

If you are concerned that your dog may be showing signs of dog flu there is a test that your vet may administer ( just like we do flu tests for kids!). Extremely ill dogs, especially young puppies or pregnant dogs may have a harder time handing the virus ( again, does this sound familiar?).

But, the main thing to know is that this flu is not being seen in humans.  There is a vaccine for one of the types of dog flu and the veterinary community it working on other vaccines.

So, no need to worry about the kids and their pet dog!!  Just like your children make sure your dog is up to date on their vaccines, gets a healthy diet, exercises daily, has enough sleep and enjoys lots of family time too. But,  this is a good time to remember that human flu vaccine will begin to be available by the end of the summer. But don’t worry, I will remind you! 

Pages

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.

 

DR SUE'S DAILY DOSE

Why you should never use a kitchen spoon to measure medicine.

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.

 

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.