Flu advice circa 2018

I had a little bird

Its name was Enza.

I opened the window,

And in-flu-enza.

Children’s nursery rhyme, circa 1918

There is nothing I like more than when history, science, medicine, and travel interact, although in this case, it’s not me doing the traveling, it’s the flu virus. Although I mostly write about travel, occasionally about history, less occasionally about other things, my day job [so to speak] is being a registered nurse.

It’s 2018 and even if you aren’t a medical science/history junkie like myself, you’ve probably still  have heard of the Influenza Pandemic of 1918.  It’s the illness that killed more people than WWI and the Plague [the Black Death Plague of the middle ages] combined, and while the exact strain of the 1918 flu was never isolated, we do know it contained at least one strain of H3N2.  And that my friends is what is circulating now. And why the 2017-18 flu vaccine is so ineffective. [But still, 10-25% effective is better than 0% effective].

Ok people, real advice from a real RN: The flu is real this year, Read carefully and stay at home if you feeling sick and if at all possible! So sorry for those of you who have had it or are currently experiencing its wrath. Hope this is helpful for those of you who have so far avoided it, are caring for family members, or have contact with people on a regular basis–so pretty much everyone.

THE LOWDOWN ON THE FLU:

  1. You CAN get the flu even if you received the flu vaccine. This is true every year,but especially this year, since this year’s vaccine has a range 10%-25% effectiveness. [The H3N2 strain is particularly difficult to grow and add to a vaccine and that is the predominant strain of the circulating virus.]
  2.  If you find yourself victim of the flu, you have a virus. It lasts 7-14 days during which you are going to feel like you want to die; you may/will have fever, chills, severe headache, sore throat, chest congestion, nasal congestion, coughing, sneezing, sore throat, severe weakness/lethargy, nausea/vomiting, diarrhea and severe body/joint aches. Viruses DON’T get treated with antibiotics; it has to run its course.                                                    
  3. Go to your primary care doctor, urgent care, or telephone triage nurse FIRST, but know there is little they can do to help you. The only thing they can help you with is medication for severe coughing unresponsive to over the counter medications or severe diarrhea/vomiting. You do not need antibiotics unless you develop a secondary lung infection.
  4. DO. NOT. COME. TO. THE. ER… UNLESS you have shortness of breath, cannot keep down fluids for 24 hours, have persistent liquid stools accompanied by dizziness, have a sustained fast heart rate or low blood pressure.
  5. Tamiflu is an antiviral drug that is found to be mostly ineffective, and comes with significant side effects and price tag.  It’s also only effective if taken within the first 48 hours of contracting the virus.  Most people don’t know they have the flu until after this window has closed.
  6. DO take Tylenol AND Advil/Motrin/Aleve [pick one; don’t take all] at MAX doses [unless contraindicated by other health issues or allergies] to alleviate fever, headache and body aches.
  7. DO take over-the-counter flu remedies. DO be careful taking combinations of different medications to avoid overdosing and over treating [example; some flu medicines already have Tylenol (Acetaminophen) in them; read the bottle].
  8. Use home remedies such as “hot toddies” [whiskey/lemon/honey, if appropriate, and obvs… FOR ADULTS ONLY], hot showers, vapor rubs, vapor humidifiers, essential oils, onions around your neck, potatoes under the bed, ect.
  9. Drink fluids! All kinds of fluids. At every waking moment. DO NOT underestimate the  power of fluids. Hot liquids and soups may be helpful. Try to maintain nutritious intake. Milk products may thicken mucus and worsen coughs. If your urine is yellow or darker, you are not drinking enough.
  10. Coughing… this is IMPORTANT: If it’s productive [stuff coming up], DO NOT suppress it with meds. If it’s non-productive [dry and annoying], DO suppress it. Make sure you’re properly hydrated, especially with a productive cough. Proper hydration thins out secretions and makes them easier to cough up and out. Elevate your head when you sleep to decrease coughing/secretions.
  11. PLAN AHEAD.   Stock up on medications, juices, drinks, soups, popsicles, and broth so you’ll be ready. This time of year it is not unusual to find store shelves empty. You will not feel like going shopping when you are sick… which brings me to my next point.
  12. DO NOT GO OUT IN PUBLIC FOR ANY REASON!  Someone with a compromised immune system, an elderly person, an infant, or someone in poor health can easily die from the flu. You don’t want to be the one who exposed them. For the love of all things holy, DO NOT send a child with a fever to school during flu season. DO NOT go to work with a fever.  Or church. Or anywhere else where you think it might be OK.  Fever means you are in the contagious period where you can spread the virus to others.
  13. PLEASE. PLEASE. PLEASE. WASH YOUR HANDS WITH SOAP AND WATER!! OFTEN.

Professional disclaimer:

[Take meds responsibly. My advice is my opinion from personal and professional experience. I am not liable for any actions taken or not taken based on these recommendations.]

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