September E-Letter

We are receiving many questions about this year's flu vaccine - Actually, we need to talk about flu vaccines for 09-10.

Here is a summary of what I know TODAY about the vaccines -

• The yearly seasonal flu vax is now available. The CDC recommends this vaccine for anyone who wants to reduce the likelihood of becoming ill or spreading influenza to others.

• Our fee is $25 if paid at the time the injection is given or we can bill your insurance. No out of pocket expense for Medicare patients.
H1N1 (Swine Flu) vax should be available by the end of October. High priority groups have been identified (www.cdc.gov/H1N1/flu/ is the definitive web site). This vaccine has been given in trial basis to a few thousand volunteers - no serious side effects have been noted but rare complications may not come to light until millions of doses have been administered.

• The current H1N1 outbreaks (mainly schools and universities) do not appear to cause the serious illness or death that was seen when the virus was initially identified. Regardless, everyone is preparing for a worse case scenario.

• The H1N1 vaccine availability remains uncertain. If we receive a supply, we will send out an email notice.

• If you contract the flu, stay home! If you contact us within 24-48 hours of onset some antiviral treatments (Tamiflu) may shorten the usual 7-10 day course.

• The symptoms for the typical seasonal flu and H1N1 flu are identical. Think of the worst cold you've ever had associated with severe cough, fevers and marked malaise.

• If you develop worsening shortness of breath, marked weakness or intractable vomiting and diarrhea (unusual for influenza) with dehydration, a visit is warranted. Call us so we can triage you directly to exam room.

Keep your eyes and ears opened as illness severity and vaccine treatment guidelines may change quickly - and don't forget to wash your hands frequently!

Mike and Marilyn