Monday, April 27, 2009

Mom's Health Update

Still bald but is thinking about growing hair. Chemo is over after 3 not so well tolerated doses. Got home from the hospital a week ago, after 5 units of blood from a bleeding duodenal ulcer, side effect of the Chemo.

But, doing much better now. Almost eating normally. No nausea or belly pain anymore. Hoping to get back to work on Sunday, May 3rd. Taking less drugs everyday. Yeah.

We are looking forward to traveling to Missouri for Mara's medical school graduation on May 15th with Dad.

Swine Flu (Influenza A H1N1) FAMILY NOTICE

... or as the Spanish speaking humans in the world call it, "La influenza porcina (gripe porcina)." As a newly evolved virus, and one which spans human - avian - pig, it seems to me there are a number of likely outcomes;

  1. This will become a pandemic. In the age of mass travel, it's inevitable. Think about how AIDS spread, a virus relatively hard to spread (requires blood/semen transmission). This virus is respiratory.
  2. A 5-10% death rate for those infected, if it follows current trends.
  3. The virus will have greater vitality in populations where there is greater medical needs.
  4. The virus may trigger changes in Avian flu that will result in it becoming a human to human transmitter, and this is important because.... avian flu is much more leathal to humans. Currently concentrated in Asia, avian flu will intersect with this new stain.
  5. No one is talking about Latin America, but Peru already has one case yet to be confirmed, and there is a great amount travel between Central/South America and Mexico.

So, what can we do about it? See the new widget on the left? Best info source on the net. On the macro-epidemiology level, not much. On the micro-epidemiology level, that is, your personal health... Follow Health Department warnings, limit travel, avoid those who are sick, and if you get sick, stay home. Here's the office CDC recommendations:

What can I do to protect myself from getting sick?

There is no vaccine available right now to protect against swine flu. There are everyday actions that can help prevent the spread of germs that cause respiratory illnesses like influenza. Take these everyday steps to protect your health:

  1. Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  2. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
  3. Avoid touching your eyes, nose or mouth. Germs spread this way.
  4. Try to avoid close contact with sick people.
  5. If you get sick with influenza, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

And here's Dad's advice in addition to the CDC:

The handwashing thing is really true. Whenever you go into public, avoid touching your face, eyes, nose and mouth, until you have throughly washed your hands with soap and water or used alcohol based hand cleanser. And remember to hang onto that paper towel until you have shut off the water with it and used it to open the door to exit the public washroom, otherwise known as the den of dem bugs. No kidding. The door handle is the second most infected area in a public restroom. Can you guess what's #1? Yup, the toilet flush handle and that little knob on the stall door.

When there are known cases in your area, wear a N95 mask rated for bodily fluids (I've ordered a case), whenever you are going into a public area, and especially crowded areas and medical facilities. If you want to buy some, don't look at a pharmacy, go to Home Depot and look in the sheetrock supply area.

If you become sick with flu like symptoms (this is the respiratory type flu, not the stomach flu), stay home and treat the symptoms. Avoid exposing others by limiting contact and wearing a mask. Treat fever and pain with Tylenol. Treat cough with Robitussin with expectorant. Maintain fluid level and rest. Call your Dad or Dr. Mara if you have any questions.

If you (or anyone you know) has significant symptoms, call your health care system or your doctor, and follow directions. DON'T JUST SHOW UP AT THE CLINIC OR HOSPITAL. You will either be told to stay home and heal there, or if warranted, mask yourself and come into the doctor for an examination, or mask yourself and go to the emergency room. Significant complications to watch for are: difficulty breathing, shortness of breath, chest pain, and dehydration.

Pax Vobiscum