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H1N1: Questions Answered

Title:

H1N1: Questions Answered

Published: Tue, 10 Nov 2009

Description: Dr. Manny answers viewer e-mails about H1N1 on Headline Health

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Automatically Generated Transcript (may not be 100% accurate)

" We we have. Have blog that we're trying to do every week especially in the you know in my blog or that I right. With the help of my. -- here. But we're trying to answer it -- tried to answer more specific questions you may have about the swine -- we did answer a whole bunch. Last Friday. And we gonna try to do more today I don't know if you want to bring up any new questions that people might be having."

" Yeah well actually have what -- hear that came from your blog. -- Amy let on she's that her nine year old son. Got the flu -- that in right and a couple days later he started running a fever he had some pretty bad symptoms and the doctor actually put him -- Tamiflu. So she want to know."

" That they have to be vaccinated again -- hand -- have canceled out. He does it this is -- that this is a question that's still a little bit open in my mind. When this swine flu vaccine was being manufactured. And the -- seem to indicate that. Especially small children may need to doses of the vaccine in order to kind of boost up the immunity. Then. It became clear that that was not."

" A 100% true because. It seemed that some studies. Especially in and and and and not unionize has been another country showed that there was some benefit -- just getting a single shot. The story with the with the -- with a nasal vaccine is that it's a mutated. Live virus that's why did the little boy got the side effects. And you know and you get this -- mutated virus you do have a mild case if you will. Of the the of the swine flu but it's not. Bad enough that it's gonna make you ill. I'm a little confused us as to why your doctor gave view -- Tamiflu because of that sort of counteracting that potential effects unless he or she thought that. That not only that the symptoms that you were getting. -- that of a real fool but not necessarily from the vaccine maybe was coincidentally you've got -- the vaccine and then you've got -- because you already brewing. The virus so it's a very you know I typically don't see doctors giving. Tamiflu. To counteract the effects of a nasal vaccine. Unless they were thinking that there was something going on. Maybe just run of the mill viral poll that have nothing to do with the H1N1. Mutated virus so a little confused there. They did a big issue is whether or not use you need a secondary booster. And I would argue that that's predicated on you know you need to talk to your doctor about that small children they needed. Because one dose of the vaccine may not be enough. But it -- it's all predicated on the age of the child and also the I would argue how big the child -- for his age. So you you have to kind of talk to your doctor about it there -- ways to. Kind of figure -- out whether you need you need a secondary goes but in some cases you certainly do. That answer your question -- they'll."

" I think it does it thinking it will be happier that all right."

" Any other questions about the swine -- they should answer."

" Well I don't know if you can really answer this -- and I just can't believe it."

" Why did not want anybody even got here it was not it doesn't mean I may not --"

" Brian I know you're you're not that CEO of -- that I have to do with I -- Joseph C -- with. Groceries viewers wants that I get my phone yeah."

" You know what my father did for a business for fifty years. He was a deli man."

" That's right so maybe clubs haven't gone ahead. -- What grocery stores are doing to cut the potential. Flu contamination. -- think that the people picked up and that might make them."

" They can do absolutely not think two. Prevent any kind of spread of the swine flu. What supermarkets have to do and they do it now. A you notice that there is a lot of you know antiseptic solution is all over the supermarket. You know that when you pick up the grocery car you'll see a whole thing that you could pull these this twice in the -- didian. That wipes -- antiseptic wipes -- down the card so you gotta do that when you get to the supermarket. We have a great story that I I -- today on the on our website fox knows how dot com. On the ten -- foods. That may make it might be contaminated with not only you know we're not talking about it's wonderful -- other bacteria. Things that you know you would tend to -- that we consume every day like leafy greens. And gigs and -- I don't oysters we you can get hepatitis from and other types of bacterium. Potato loose he's. Even batteries which I love people don't realize that all these products and again you can see the story Fox News how dot com. How how the FDA monitors these -- is because these -- basically. Can have contamination of the call -- You know it really false and that consumer what could what Toobin Marcus have to be responsible for is that they remove expire. Things from the shall that the you know that the expiration date are not left. That the -- gets change in a regular basis and things of this or that -- Where they place all these things get clean now on a regular basis that's what this supermarkets have to do but you as a consumer have to realize that. Unfortunately. You've got to bring those things home and you've got -- Washington you gotta watch and -- See you never."

" He's here may I tell you -- his patients without ever we should go into politics. All all right so that that was that. -- and -- Iowa and now she thinks that she may have the well. Today it's my arm and she wants if you had it he's still need that apple."

" Probably not. But I will say that. -- you know that a lot of people think they have the flu and they don't have the flu. So you know what I say that you don't use -- obviously you get immunity from this wonderful if you if you if you have a documented case -- this point flew in other words they did cultures this -- cultures came back positive. That you run the course of it yet you you'll probably have immunity. But the a lot of people think that they have the -- and in reality they don't have the flu they have. You know especially now this time a year there's a lot -- differences I seen a whole bunch of patients. Just last week they came to the office and the runny nose. But when you -- daily -- and you check other sizes symptoms of the flu which include by the way high fever is -- ladies. Some coughing. You know you've you've got to put it all together. The you know they don't have the -- so -- lets you be -- idiotic documented cases of the flu and it was documented especially would they know the fast culture which -- you can get an a couple of hours. Then. You don't -- you are -- so that's the answer to."

" Really into employee and you know -- April and on the since first coming out where they they were just kind of not testing people anymore and just saying. You know go home and wrath if he went to the hospital. And and now they're kind and you know there -- tracking them as much with."

" Including the plan -- you know I -- beginning I think that there was such. At panic people. You know at the beginning and meet meet me for the vaccine became available and it was still trying to get the genome of the of the virus and you know created. They were talking about the swine flu it and then they'll there was have been and that sort of a panic and everybody started rushing the emergency room. And of course there was -- run in the emerges Truman you know emergency rooms are ready. Pretty -- out as they as you work so that the FDA to get a little bit of the positions as AA everybody -- back and and and and you know you -- to rush and but no. Is -- a little bit different because. We know all this severity that this swine flu can have and and small children. So doctors are very aggressive in seeing those patients. You see the severity. In and people with chronic debilitating diseases like. You know very uncontrolled diabetes or you know emphysema. And things of this sort so you've you've got to be. Very careful you have to be -- aggressive. Doctors see the benefit of Tamiflu for instance which is the anti viral medication and you do wanna get the Tamiflu within the first 48 hours at least. Of getting the diagnosis of H1N1. So there's a little bit of now all of I think of OK let's see what it is. Pregnant women for instance we know we we don't do you know any pregnant woman that that is soliciting any kind of flu like symptoms you know this time around. Are basically brought him to gospel very quickly so. I think that now and now we have very fast kids that you can really -- been sent to the lab and within an hour or so you can tell whether it's H1N1. So the mechanics are a little bit better at making the diagnosis of people don't necessarily have to kinda just suffer at home."

" Especially live -- is it says it's safe to say -- if you are having symptoms and you go to an emergency room where your doctor from the -- Will be --"

" I -- you know. I I think that they -- brand it if you went to the hospital almost like -- you view week to view because city the go to a to it sort of -- practitioner was a small office he -- she may not have the the necessary tools for it but then you may not get past that and that point com."

" Well I actually have a question because I know that. Pregnant women -- it at high risk because they're they're immune system there are some -- and -- because they're much reading is restricted. Then why children analyze and that's where it."

" Missing children at a children's if you know when you get to be my age. Okay. A lot of blogs have come into my body over the the years so that. I have some memory. Some faint memories of -- you know my system has some faint memories of a lot of bugs one very easily could have been the H1N1. -- I may have some protection. From it but a small child basically has had no memory of it. And therefore they're more. Likely to get very severe side effects from. That's -- basically. It's just you know older more experienced younger less experience."

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about twelve days yup so. You know they generally have a good immune system any way to fight -- as long as they're getting plenty of rest fluids and and and -- international support as well. So I don't think it's gonna be an obvious every child I think if he's -- decided on a case by case basis but I don't think it's -- either way given under the right circumstances. It's what are the potential side effects premiere there really are that they hit. Well at any anti viral there's going to be -- side effect of it has been metabolize it delivers an -- liver toxicity potentially. Not the the teak and it's you know and -- it. And as far as -- and send those of having the major's side effects but it but Tamiflu. Site. You know I just think if you can avoid opening giving your kids this medication and that's by the best thing to do. If if they have a mild form . If -- a more serious form than ever gonna benefit from -- and they should get it because kids even though they do have a good immune system if they're gonna if -- severely affected severely affected. By this flu they can actually have. They can. Potentially be -- very
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precautions. Which is the other thing you know we talk about anti viral medication . You have to if you don't have that that their backs and available to you yet. And you you do getting kind of flu symptoms you have to get the antiviral Tamiflu in your system very fast because it seems to work. And don't buy it over the Internet which is the big story that the FD. You -- FDA just released -- a lot of fake companies selling Tamiflu in the Internet. Which really is very bad for one of the big questions we get nasal snapping -- shot right -- do you get well. Look pregnant women cannot get the nasal form because it's a life -- a modified via virus so you can give it to a pregnant woman . But it is a good vaccine it gives you the same time type of immunity. This this this shot is a deadly