influenza Archives - Ramblin' with Roger

All my shots: COVID #3 and more

Tdap

Yes, I’ve got all my shots. In the month of September, I received not one, not two, but THREE vaccines.

1. The influenza shot.- “The best time to get a flu vaccine — which reduces the risk of serious flu-related illness, hospitalization or death — is any time between September and the end of October, the CDC suggests.”

I’ve been getting the shot every year for over a decade, after getting the flu kept me in bed for about a week.

2. The Tdap (tetanus, diphtheria, pertussis) shot. As I noted here, I had stepped on a nail in 2000 in my then-new backyard and got my first shot probably in decades. I got another one in 2010. As my old pal, Diane suggested, “Sometime (around 2000) pertussis was re-instituted in the ‘adult’ Td…” Pertussis is also known as whooping cough.

But I didn’t get the shot in 2020 because my doctor, who I had seen only once that year, for my physical in September, didn’t want to subject me to two sore arms. This year, I was given a choice; two sore arms now, or come back later. I opted for the former. And it wasn’t bad at all.

Booster

3. A third “booster” dose of the Pzifer vaccine

I had briefly struggled with whether I, as an entitled American who can readily receive the shot, should get a third dose. Much of the world hasn’t been able to get any vaccine.

The conversation in my head sounded rather like when I was a little kid and told to eat the beets (canned beets were AWFUL). Some parents, I don’t think mine, would say, “Eat these because there are people in China who are starving.” And the kids’ retort would suggest that they’d gladly send their veggies to Peking.

Of course, that wasn’t and isn’t physically possible. The current administration is dedicated to buying and sending vaccines abroad. But as this CBS News story about Lesotho notes, “Battling COVID in Africa takes more than vaccines. It takes ‘flying doctors,’ and even they need help.” If I thought my third shot was taking away someone else’s first shot, I would have gladly forgone it.

Musing

Ultimately, I decided to get the extra dose because of the news that the Pfizer vaccine, which I had received in March, appears to be less effective over time than the Moderna. And I’m over 65 and overweight, plus over 700,000 Americans have died of the disease, so that’s an affirmative.

I received my first two doses at a CVS about a mile from my house. This time, I went on the CVS website and found I could walk to my local pharmacy 0.3 of a mile away. They wanted a little more info this time, such as both my Medicare and my Rx insurance numbers, and telling of my reaction to the previous shots. But the process was not onerous.

No reaction to the third shot, other than a little soreness at the injection site, same as the second dose.

Disease: flu epidemic of 1918-1919

The flu epidemic spread following the path of its human carriers, along trade routes and shipping lines

flu epidemic. I knew there was a terrible flu epidemic near the end of what we now refer to as World War I. The Influenza Pandemic of 1918-19 struck young people particularly hard, and killed between 20 and 40 million people worldwide, including an estimated 675,000 Americans, far more than the war. But what CAUSED what was perhaps the second deadliest disease outbreak in human history?

The EcoHealth Alliance’s Robert Kessler shares some facts:

“In researching his book The Great Influenza, John M. Barry discovered that in January 1918, a doctor in Haskell County, Kansas reported unusual flu activity to the U.S. Public Health Service. By March, that had spread to nearby Fort Riley. On the morning of March 11, an Army private reported symptoms of fever, sore throat, and headache. By lunch that day, more than 100 soldiers on the base had fallen sick.

“At the time, very little was known about viruses and their transmission. In fact, the very first virus – Tobacco mosaic virus – had only been discovered 26 years earlier in 1892.”

Interesting that the recommendations against contracting the flu were slightly different from a century later. “Wash inside nose with soap and water each night and morning; force yourself to sneeze night and morning, then breathe deeply; do not wear a muffler; take sharp walks regularly and walk home from work; eat plenty of porridge.”

Kessler notes: “Diet and exercise are, of course, essential components of our health, but a brisk walk isn’t going to do much when it comes to preventing a virus from hijacking a host’s cells and replicating itself. From Fort Riley, soldiers carried the disease to other American military bases and, eventually, the battlefront in Europe.”

That first wave wasn’t particularly virulent. But, according to the United States Centers for Disease Control: “In September 1918, the second wave of pandemic flu emerged at Camp Devens, a U.S. Army training camp just outside of Boston, and at a naval facility in Boston. This wave was brutal and peaked in the U.S. from September through November. More than 100,000 Americans died during October alone.”

Stanford University notes the awful effects of the flu epidemic worldwide: “It spread following the path of its human carriers, along trade routes and shipping lines. Outbreaks swept through North America, Europe, Asia, Africa, Brazil and the South Pacific In India the mortality rate was extremely high at around 50 deaths from influenza per 1,000 people. The Great War, with its mass movements of men in armies and aboard ships, probably aided in its rapid diffusion and attack.”

As the CDC notes, “Scientists now know this pandemic was caused by an H1N1 virus, which continued to circulate as a seasonal virus worldwide for the next 38 years.”

For ABC Wednesday

Family health report, March 2017

Oh, my spouse made orange JELL-O with chunks of pineapple!

Anyone get the license plate of the truck than ran me over? Not literally, but…

Let’s back up.

Friday, March 10 – The Daughter was having some muscle pain, and I stayed with her, figuring she was dehydrated or something. But then she developed a fever, and felt lousy, as we tended to her with cold compresses and OTC medicine.

Saturday, March 11 – She seems better. Her fever is gone. She was helping the cleaning for my annual hearts party, which was a lovely event. But beware the two of diamonds! I theorized that she willed herself to be well, because she knew it was important to me.

Sunday, March 12- She’s feeling worse again, and her fever returned. The Wife stayed home with her, while I went to church.

Monday, March 13 – the Wife took the Daughter to the MD, who diagnosed her with strep throat AND either a cold or the flu.

Tuesday, March 14- you may have read how the snow forecast was overblown in the big cities such as Philadelphia and NYC. Well, it wasn’t overblown in much of upstate NY. My hometown of Binghamton got over 30 inches, about 3/4 of a meter, and Albany got a total of 20.5 inches, over half a meter. It was the first time in 36 years, I’m told, that the state closed down, allowing “non-essential” personnel to stay home without having to use a vacation day.

I shoveled the first six inches, no problem. But attacking the next nine was much harder than it should have been. It WAS windy and a near blizzard, but still, I should have been able to handle it. I was grateful for The Wife’s assistance to finish the job. I went to bed early, around 8:30 p.m.

Wednesday, March 15 – I was going to drag myself to work, which, in retrospect, would have been a mistake. But since the Daughter was still recovering, I tended to her. By the afternoon, though, I asked The Wife to take me to the urgent care place. After about three hours there, which included various tests and a chest x-ray, it was determined that I had BOTH pneumonia AND influenza, despite having gotten a flu shot back in November. My wife decided to sleep in the spare room, which I thought was wise.

Thursday, March 16 – Did not sleep well. I was so congested I thought I was suffocating. My attention for anything – the computer, TV – is about 15 minutes. I can’t read a book or anything that requires focus. Oh, my spouse made orange JELL-O with chunks of pineapple! You’d be amazed how for that 10 minutes, how almost happy I was. Being sick will do that.

Friday, March 17 – Tried to write a blog post, but I kept writing the wrong word – “committed” when I mean “commented,”, e.g. I DO know the difference MOST of the time. And it’s exhausting to sit up. We have seven movies (DVDs) we got in anticipation of the snowstorm, but can’t focus enough to watch any of them, but for one we all saw back on Tuesday.

Saturday, March 18 – Lots of strange dreams about aliens, Burger King, the Berman family (my great-aunt Charlotte’s people). The one thing I remember in a dream was that the dreams you have do represent a memory of your life, but it may be an event that has not yet taken place. I think the dreams are a direct result of being dehydrated, probably from some medicine finally kicking in.

This feels like drunk blogging. I’ve started about six posts this week, and, including this one, the number completed so far: one.

Tuesday, I see my primary care physician. Until then, I’m not operating any heavy machinery.

The flu shot: new venue

I’m sure that the acquisitions of the offices of my PCP and similar locations involve the hospital wanting to have the right mix of facilities under the Affordable Care Act, a/k/a Obamacare.

I thought, before I had it 7 or 8 years ago, that the flu was like a very bad cold. I was very wrong. The flu made me feel miserable. I mean missing a full week from work miserable.

Since then, I’ve been religiously getting my flu shot every year, usually when I get my annual physical in early autumn. In the past year, though, the practice of my primary care physician (PCP) has been taken over by one of the large hospitals in the area. As a result, my PCP doesn’t know when the flu vaccine would reach the office. I was encouraged to get my shot at Wal-Mart or ShopRite or wherever I could.

For some reason, I found this oddly unsettling. I’m sure that the acquisitions of the offices of my PCP and similar locations involve the hospital wanting to have the right mix of facilities under the Affordable Care Act, a/k/a Obamacare. Presumably, the economies of scale are supposed to make things more efficient, but that wasn’t the case in this situation.

At my local CVS, there were signs encouraging people top get flu shots there, so I inquired. My shot would be covered fully by my insurance, so I for the shot from the pharmacist behind this partition. My wife can go there too, but my daughter cannot because she is under 18.

Getting the shot at the pharmacy rather than the doctor’s office is different, but no less convenient. The new way of doing things, in this case, was not so bad after all.
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