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Thank you for getting your flu shot

This weekend the kids and I had our influenza immunizations.

There is always a difficult lead up as Oliver has severe anxiety around every medical procedure. An EKG (painless heart rhythm test) and a throat swab cause extreme fear and often tears and anything with a needle, well, let’s just say that’s on a whole different level of terror and emotional pain.

I remind myself that his anxiety is a normal response to an abnormal situation.

It is not a normal experience to be born at 26 weeks weighing 1 lb 11 ounces or to spend the first 9 1/2 weeks of your life in an intensive care unit and then to be on oxygen for your first year.

It is not a normal experience to need your first heart surgery a few weeks after birth, but to be too small for any of the equipment.

It is not a normal experience to have had two intensive care unit (ICU) admissions for viral pneumonia and to have lost count of the “regular” pneumonia hospital admissions.

It is not a normal experience to need a simple dental procedure in the operating room with two anesthesiologists because your risk of a dangerous, irregular heart rhythm with all anesthesia is so high.

This is not in the scope of anyone’s normal, never mind all by your eleventh birthday.

This one-two lung-heart insult (lungs exposed to air 14 weeks to soon and only a partially repaired heart defect despite two surgeries) leaves Oliver especially vulnerable to viral infections. Each subsequent pneumonia only scars his lungs further, increasing his vulnerability the next time a harmful virus navigates his respiratory passages.

Despite being vaccinated every year Oliver has had influenza A twice. Once going to the ICU for 7 days. His bouts with the flu despite annual vaccinations doesn’t tell me the vaccine doesn’t work, rather it just reaffirms for me that some people are just so high risk. Even with vaccination some people will still catch the flu, it’s just it for most (those with robust heart and lungs) it will be a milder illness. I don’t like to think what might have happened had Oliver never been vaccinated. And so Oliver is exactly the kind of child who should come to mind when one thinks of herd immunity, the idea that decreasing the amount of a contagious illness in a community helps the most vulnerable.

If Oliver could get the FluMist (the nasal spray) the annual flu shot wouldn’t be something to add to our Aegean Stables of medical care, but respiratory viruses are one of Oliver’s nemeses. Even a seriously weakened virus could raise havoc if placed directly into his respiratory tract. And so he is stuck with a fear that is so terrifying that it cannot be overcome by any amount of reasoning, promise of gifts, explanations, cuddling, and love.

The boys whined about the line at the clinic until I told them a line made me happy because that meant so many people were taking their vaccinations seriously. After my usual bag of tricks to try to quell Oliver’s rapidly escalating panic was quickly depleted I began to explain how vaccinations worked, the complexity of the science temporarily derailing his freight train of fear. When I stopped a mom thanked me. She’d been struggling how to explain it all to her daughter, and so they had just stopped and listened to us. And then I said, “No, thank you.”

By this point several more people in line were listening.

Then I said, “Oliver, we need to thank everyone here in line because every single person who gets vaccinated against the flu is helping you.” And then I added, a little louder so everyone could hear, “My son is the kind of person who depends on herd immunity, so thank you.”

Influenza mortality (from CDC)

Influenza mortality (from CDC)

Everyone in that line lives or works or goes to school in our county and every single one is contributing to our herd immunity. The lives of people like my Oliver depend on that. Although it is important to remember that everyone is at risk for serious influenza-related illness (about half of the children who die from influenza are otherwise very healthy and have no risk factors). That is of course why we have a vaccine. Thousands of people die from influenza every year. If it were only a nuisance, like the common cold, we wouldn’t be so invested in preventing it.

So, thank you from the bottom of my heart for getting your flu shot. If you are vaccinated you are protecting yourself and are also less likely to start a potentially fatal chain of events for someone else.

How great is that?

 

Discussion

12 thoughts on “Thank you for getting your flu shot

  1. Oliver is precious. We just got our flu shots. I’ll share this with my girls, so they know why it was so important that they get a shot, which they also hate and dread.

    Thank you, Oliver!

    Posted by guinevere | October 5, 2014, 9:49 am
  2. Please hug Oliver for me and I will go and hug my husband who has CLL and relies on herd immunity too.
    And I will keep blogging about vaccinations. In fact, I think that’s the topic for today. THANKS.

    Posted by bethhavey | October 5, 2014, 10:36 am
  3. I got mine! Thanks for the info and pep talk!

    Posted by eric dillon | October 5, 2014, 10:51 am
  4. Oliver touched me to the core. Thank you!

    Posted by reissd | October 5, 2014, 11:26 am
  5. I feel for you and your family but I am sure there are zealots out there who don’t care because they’re ‘protecting’ their kids by NOT getting them vaccinated.
    When did people start voicing an opinion about science?!
    So very sad!

    Posted by Erin Bliss | October 5, 2014, 8:05 pm
  6. Thank you for the reminder – my husband and I are doing ours this week! I have no patience whatsoever with people who won’t vaccinate their kids…we’re talking about the long-term survival of humanity, and the short-term (say, one lifetime) survival of kids like Oliver.

    Posted by Kathy | October 5, 2014, 11:46 pm
  7. If this helps, my niece is mid-teens now, and just getting over her terror of needles of any kind. She just had the normal childhood need for vaccinations and some occasional illnesses causing need for injections, but it was a major ordeal for my sister and herself each time. But she is getting over it, as she gets older. Agree totally with the vaccination philosophy. There are some who want to take advantage of the ‘herd protection’, who don’t need it. Basically scared by the mis-information and fears that were spread about vaccinations 15, 20 years ago, or selfish

    Posted by Tom | October 6, 2014, 3:15 am
  8. I suffered from an overwhelming needle phobia for many years but I am an adult who is able to choose so I have always worked up my courage to have flu vaccinations and other boosters because I figured it was so important for the community at large. Give Oliver a big hug from me if he would like it,

    Posted by Jane CObb | October 6, 2014, 6:17 am
  9. Thanks for this reminder. I always get one, but I appreciate the push for the wider community awareness as well. I have a nephew who battled leukemia for years (now in remission and up-to-date on vaccines! yay!) and it mattered to our family that the herd protected him.

    I was thinking that around the time of the big turnout for BatKid–remember all those Californians cheering and taking photos? I wondered to myself how many of them were protecting him during his battle, or if they didn’t actually give a crap when he was getting chemo.

    Posted by mem_somerville (@mem_somerville) | October 6, 2014, 3:32 pm
  10. Great story, lovely parenting and really important to keep the vax message coming in as many ways as possible.

    Posted by Iorek | October 7, 2014, 2:04 am
  11. Great post thanks so much. Appealing to people’s better angels may work where badgering them (my usual approach in clinic) fails

    Posted by Craig Canapari MD | October 7, 2014, 5:55 pm

Trackbacks/Pingbacks

  1. Pingback: Pregnancy and influenza – new data shows death rate of 25% for those who get critically ill | Dr. Jen Gunter - January 5, 2015

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