Flu Blues, Part II
Thanks to all of you who chimed in on No shot at a shot: When you can't get the flu vaccine I see I am not the only furious parent out there.
I especially appreciated the comments from the medical professionals who were as angry and frustrated as I was. They are having a pretty miserable time too.
A quick update on my own saga, our local public health department saved the day. On Friday, the town of Natick got some H1N1 nose drops designated for preschoolers, ages 2-5, without asthma or underlying health conditions.
I pursued two spots in the swine flu clinic with the passion I would have generally reserved for acquiring tickets to an Eric Clapton/Sting/Peter Gabriel/Steve Winwood reunion concert. I called, emailed and briefly considered camping out at town hall before the health office opened.
Good news -- they had room for us and a number of other families from our daycare center. It's only half of the dose (the other half comes a month later, if available) and because it's a live virus, the kids can't get a seasonal flu mist until well into January (if I can lay my hands on any, that is.)
It wasn't full protection by any means, but it was something, and I was grateful for it.
For a moment afterwards, as I swiped at their noses with a tissue, I was all warm and tingly with the lovely feeling of being a have rather than a have-not, smug with the relief of We Got Ours.
Then, I felt deeply ashamed. What about the kids who couldn't get a spot? The kids who were too old or too young? The parents who didn't know about the clinic? The moms who didn't have the time to make a bunch of harried cell phone calls? The dads who couldn't leave work to collect their kids and herd them into town hall? What about them?
Just 24 hours earlier I was one of them, I reminded myself.
The shortage remains intolerable, and is making us all act badly, pitting parent against parent and patient against doctor.
So who is at fault here? I guess it's a bad combination of vaccine shortages, bad communication and parental hysteria and impatience.
Personally, I still think local pediatricians should do more because, like it or not, they are the front lines in this mess.
Even small things would help: Have a running list list of local health departments and other vaccine sources that patients could be calling and daily updates about when they expect news. This is even a great chance for doctors to do a little blog, reassuring parents or even just offering the same old hand-washing tips.
Yes, I can hear the answer from the overwhelmed pedi community already -- we're WAY too busy for all that. We don't have the staff. We have really sick kids to take care of. Be patient. Check our website.
But too busy to communicate with your patients when the world seems a particularly dangerous place? Find some time. Please.
Have you had trouble getting the seasonal or H1N1 vaccine for your child? What do you think of the vaccine shortage situation, and how it is being handled? Leave a comment, or email me at enoonan@globe.com
(Photo of Sting. He doesn't have the flu, or a reunion concert planned, as far as I know.)
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I haven't looked too hard for it because my kids are older (10 and 13) and have no medical conditions. However, it was frustrating to see an article in our local paper saying that while all Vermont children are being vaccinated in the schools, there is no vaccine in New Hampshire (I am in NH). We did have seasonal flu clinics in the schools back in October but flu has been rampaging through our schools in the past few weeks. My younger got the flu last week and was sick for two days. It must be H1N1 since he had the seasonal vaccine. The third day he was bouncing off the walls but couldn't go to school because of the 24 hour rule. He's still a bit tired and coughing but all in all it was a typical illness for a normally healthy kid. I'm confused about Tamiflu. When I asked the nurse about it, she conveyed that the doctor didn't recommend it and said he wouldn't give it to his own kids. I didn't find out why he felt that way. Anyone know what the deal with Tamiflu is?
I called my kids' pediatrician again this morning for an update. Nothing. They don't even have the live version of the seasonal flu vaccine like they did last week (even though my kids were ineligible for it because they are both recovering from colds). I've been told to call back weekly. They have a website - too bad they couldn't actually use it to disseminate any info. Duh.
I hear you, JKR. That sounds really frustrating - EN
Cordelia, I'm not an expert, but my impression is that Tamiflu is supposed to shorten the duration (by 0.5 - 1 day) and maybe reduce the severity of the flu. To be effective, it needs to be taken within 6-48 hours of the onset of flu symptoms. Unfortunately, it can produce unpleasant side effects such as nausea/vomiting and diarrhea. I think doctors are divided as to whether it's worth it to start kids on Tamiflu, given the side effects and the fact that most kids with H1N1 just have a typical flu experience. However, it may help to prevent the really bad flu experiences of a small minority of children, so some doctors would rather kids deal with the Tamiflu side effects to potentially prevent hospitalizations of a small number of children. Unfortunately, you need to start administering Tamiflu before you know whether the child in question is going to have a bad case of the flu or not.
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