Thursday, September 3, 2009
Advice to Parents on H1N1
The following are excerpts from an article written by Dr. Sanjay Gupta for cnn.com.
"Over this past week, I had some interesting conversations with colleagues who are also health care professionals. These conversations usually start with, "You know what I hate about the media ... ?"
People were scared, more than I had seen in a long time. And, health care professionals were blaming the media -- accusing them of being alarmist.
So, I decided to get away from the studio, away from the talking heads discussing mortality rates, and away from the hypothetical discussions about what might or might not happen. I wanted to see for myself what was happening in emergency rooms right now.
I wanted to create a parents' guide to dealing with the swine flu that is based on the best science and my interviews with experts all over the country.
First off, there is no question that pediatric emergency rooms are much busier than this time last year -- about two to three times busier at the ER I visited.
Many of the patients sitting in the waiting room were there with flu-like symptoms, worried about H1N1.
The doctor who met me started by saying he was giving the media a C+ in its overall coverage of H1N1, and blamed his busy ER, in part, on the media for stoking fears.
"Fair enough," I answered back, "but, how do I get to an A?" In order to get there, I wanted to report clear, concise answers about what a parent should do with a sick child. So, here we go.
Point 1. As things stand now, the vast majority of children who develop flu-like symptoms this fall will have a few miserable days, and nothing more. And those days are best spent at home -- not in the ER or a doctor's office.
Point 2. If you are worried, you should call your pediatrician's office first. Don't take your child in without calling. Two reasons: Your child may not have H1N1, but could become exposed by being around sick children. And, after several hours of waiting, you are still likely to be told the basics -- plenty of fluids, rest and dose-appropriate acetaminophen for a fever. After all, it is still the flu we are talking about.
Point 3. One doctor told me a way to think about things that was helpful. He said "remove the term H1N1 from the equation." If your child had regular flu, would you take him to the hospital? If the answer is no, then don't take him/her to the hospital now.
Point 4. Yes, hearing between 30,000 and 90,000 could die from H1N1 is scary, but keep in mind -- around 40,000 people die from the regular or seasonal flu every year. The numbers may not be that much different, yet there is not panic about the regular flu. As things look now, H1N1 is causing only mild to moderate illness, not the widespread deaths people are worried about.
Point 5. There are some children who should be seen by their doctor.
Call your doctor if:
• A baby younger than 12 weeks has a fever greater than 100.4 degrees Fahrenheit
• A child, older than 12 weeks has a fever for three days
• A child's fever returns after a 12-24 hour time period
• A child is not passing urine or making tears for more than six hours
• A child does not smile or show interest in playing for several hours
Dial 911 if:
• A child cannot speak while trying to breathe
• Has a blue or dark purple color to the nail beds, lips or gums
• Is not responding to you because he is too tired or weak
One point that was reinforced to me over and over again by the pediatricians is the best place for a sick child is at home. And, with regard to school -- after 24 fever-free hours without the aid of medications, he or she can go back."
I hope this information is helpful, if you would like to read the article in its entirety, click HERE.
Thursday, May 7, 2009
Guest Post
Monday, May 4, 2009
Pandemic Prep
So what things would you want to have on hand during a pandemic?
- disposable gloves
- lots of detergent (as you will probably be doing a lot of laundry)
- bleach
- garbage bags
- toilet paper
- Kleenex
- paper towel
- liquid hand soap
- hand sanitizer
- medicines for fever
- fluids with electrolytes
- N95 grade face masks
For a more detailed list of items to have on hand click HERE.
You would also want to have at least a 2 week supply of food on hand as grocery store shelves could easily be emptied in a panic. For example...one item that is flying off store shelves these days is hand sanitizer. It is nearly impossible to find. When I heard this I went to a store outside my area and all I could find was 5 bottles of Germ X ...in the whole store. All trial size were gone, all bottles of every other brand were gone. I say this not to cause alarm, just to illustrate that when there is panic...shelves can be emptied in no time. Preparing before hand will give you peace of mind during a time of stress.
Make a list today of things you would want to have on hand if you were largely confined to your home, specifically keep in mind items you would need if your family members were sick.
No need to panic today...just prepare for tomorrow.
Update: I was on CNN this morning and read a great article regarding keeping your hands free of the influenza virus. Click HERE if you are interested in reading it.