This is Nurse Judy signing back in.
Thanks to Charity for keeping the blog going while I was gone.
While I was away we were notified that we would be getting TEN doses ( not boxes...DOSES!!) of the H1N1 this week.
Charity wasn't sure whether to laugh, cry or scream. Regardless of that e-mail alert, we have not received anything as of yet...not even the ten.
We have to date gotten only a tiny percent of the amount we ordered.
The order was placed as soon as we were allowed to place it, and was for as much as we were allowed to order. We were permitted to request the same amount as our existing seasonal flu order.
Why some practices have gotten what they asked for, while we have been frustrated by lack of vaccine is a question that I have not been able to get answered.
In the meantime...the opportunity to get vaccinated on the 22nd my be the best option.
I will update as soon as there is a change in our status
Thursday, December 10, 2009
Tuesday, December 8, 2009
A disappointing Tuesday.
No H1N1 today. No news on when it might appear.
All in all, a disappointing day.
All in all, a disappointing day.
Monday, December 7, 2009
Monday Morning Blues
Hey folks. Well no sign of H1N1 this morning. So no news, is no news.
Last week was busy with a lot of calls about nausea and vomiting, there is a tummy bug going around. As always your best protection is careful frequent hand washing. And the biggest problem is dehydration. Here are some tried and true tips:
Keep your child hydrated with small frequent sips of a clear liquid.
Best liquids-
Breastmilk
an electrolyte replacement like pedialyte
juice diluted one to one with water
broth or stock (chicken, beef, vegetable- a good choice for kids who are refusing sweet things)
popsicles
jello (best to pick ones light in color, avoid red- it stains!)
If they hold that down for a while and seem hungry it is ok to move onto the BRAT diet.
Bananas
Rice (white rice or rice cereal)
Apples (sauce, not chunks with skin)
Toast (white bread toast, no butter)
avoid dairy except for yogurt. avoid the "p" fruits- peaches, pears, plums, and prunes. If the stools are very runny best to hold off on the cows milk. Try rice, almond or soy instead. Breastmilk is ALWAYS fine.
If they do well with those offerings plus the clear liquids they can move onto a bland diet. Nothing acidic or spicy (avoid tomatoes). Examples: Chicken noodle soup no vegetables, poached eggs on toast, broiled chicken, flavored rice, classic sick bed comfort foods.
Will hope for more info about H1N1 tomorrow!
Love and health to all.
Last week was busy with a lot of calls about nausea and vomiting, there is a tummy bug going around. As always your best protection is careful frequent hand washing. And the biggest problem is dehydration. Here are some tried and true tips:
Keep your child hydrated with small frequent sips of a clear liquid.
Best liquids-
Breastmilk
an electrolyte replacement like pedialyte
juice diluted one to one with water
broth or stock (chicken, beef, vegetable- a good choice for kids who are refusing sweet things)
popsicles
jello (best to pick ones light in color, avoid red- it stains!)
If they hold that down for a while and seem hungry it is ok to move onto the BRAT diet.
Bananas
Rice (white rice or rice cereal)
Apples (sauce, not chunks with skin)
Toast (white bread toast, no butter)
avoid dairy except for yogurt. avoid the "p" fruits- peaches, pears, plums, and prunes. If the stools are very runny best to hold off on the cows milk. Try rice, almond or soy instead. Breastmilk is ALWAYS fine.
If they do well with those offerings plus the clear liquids they can move onto a bland diet. Nothing acidic or spicy (avoid tomatoes). Examples: Chicken noodle soup no vegetables, poached eggs on toast, broiled chicken, flavored rice, classic sick bed comfort foods.
Will hope for more info about H1N1 tomorrow!
Love and health to all.
Thursday, December 3, 2009
Thursday
We just received 100 doses of SEASONAL flu mist for anyone interested.
We didn't think that any more would be available this season, so I was delighted that we were able to get this.
We still have no idea what the regular seasonal flu has in store for us later this winter.
I am still seeing some patients with moderate fevers and also seeing some folks with several days of diarrhea.
I have seen what I suspect are a couple of kids with "slap cheek" virus.
For the most part it has been relatively quiet for the first week of December.
STAY Healthy...I am going to pass the Blogging over to Charity until the end of next week ( Lucky Nurse Judy is going away for a few days....)
thanks for all the nice feedback I have been getting about the blog!
We didn't think that any more would be available this season, so I was delighted that we were able to get this.
We still have no idea what the regular seasonal flu has in store for us later this winter.
I am still seeing some patients with moderate fevers and also seeing some folks with several days of diarrhea.
I have seen what I suspect are a couple of kids with "slap cheek" virus.
For the most part it has been relatively quiet for the first week of December.
STAY Healthy...I am going to pass the Blogging over to Charity until the end of next week ( Lucky Nurse Judy is going away for a few days....)
thanks for all the nice feedback I have been getting about the blog!
Wednesday, December 2, 2009
upcoming vaccine clinic
I just got word from the SF public health department that they will in fact be having another H1N1 vaccination clinic at the Bill Graham Auditorium on December 22 from 10am -7pm
This will be for anyone considered high risk. This includes all children from 6 months through 24 year of age.
They will give the second dose to anyone who has had the first one prior to December 1st.
Hopefully we will have our vaccine before then, but this is good news.
This will be for anyone considered high risk. This includes all children from 6 months through 24 year of age.
They will give the second dose to anyone who has had the first one prior to December 1st.
Hopefully we will have our vaccine before then, but this is good news.
Wednesday update
The best info that I was able to wring out of the "powers that be" yesterday, is that they are expecting another shipment of the H1N1 vaccine the second week of December. Once they get it, they will attempt to allocate it fairly. ( Does that mean we get a reasonable amount this time? I HOPE so!!)
San Francisco health departments are NOT planning any more vaccine clinic days at this time.
I am getting many calls from parents about the second dose. For those of you lucky enough to have gotten that first dose, I understand that the minimum 3-4 weeks has passed and it is time for the booster.
I spoke to the manufactures as well as the health department to get as much understanding as I could about the timing.
Everyone I spoke to said that while there is indeed a minimum wait time in between the doses there is NO maximum. The first dose primes the body and in some cases gives adequate protection. The second dose boosts this protection and can be given any time within the flu season.
Ideally of course we would offer it in a more timely manner, but don't stress if it is delayed.
It is also fine to mix and match types of vaccine. If your child is over two they can boost with the mist even if the first dose was the injection.
San Francisco health departments are NOT planning any more vaccine clinic days at this time.
I am getting many calls from parents about the second dose. For those of you lucky enough to have gotten that first dose, I understand that the minimum 3-4 weeks has passed and it is time for the booster.
I spoke to the manufactures as well as the health department to get as much understanding as I could about the timing.
Everyone I spoke to said that while there is indeed a minimum wait time in between the doses there is NO maximum. The first dose primes the body and in some cases gives adequate protection. The second dose boosts this protection and can be given any time within the flu season.
Ideally of course we would offer it in a more timely manner, but don't stress if it is delayed.
It is also fine to mix and match types of vaccine. If your child is over two they can boost with the mist even if the first dose was the injection.
Tuesday, December 1, 2009
December already?
Several things....
We still have not gotten notification of upcoming shipments this morning.They are supposed to send an email the day before to alert us that the vaccine is on the way
Of course, the last shipment took me by surprise and came with no warning, so our status could change quickly.
We have gotten several questions about reserving a vaccination and getting on a list.
We are not doing reservations. If we were, I am quite sure that all of our upcoming vaccine would already be spoken for by the lucky few that camped on the phone lines here. Until our supplies are truly adequate we want to put more thought into the process than a simple first come first served.
There are 2 possible "lists".
The first is Josie's list of high risk patients. She has kept this for years and uses it to alert patients every year when the flu vaccine becomes available. If you have a child that you believe is high risk for any reason, do talk to us about making sure you are on that list.
The second possible list would be the daily log of people scheduled to come that same day for available flu shots. Once we have the vaccine in stock we will be doing flu shot clinics Tuesday, Wednesday and Thursday 10-11:30 or 2-4.
What's going around?...Yesterday was the Monday after a 4 day weekend and I anticipated that it would be much busier than it actually was, which means things are fairly quiet out in the illness world.
We did have a handful of kids with several days of moderately high fever.
We are also seeing a bunch of patients with a mild tummy virus that comes and goes fairly quickly.
I will post again tomorrow unless we get a shipment today.
We still have not gotten notification of upcoming shipments this morning.They are supposed to send an email the day before to alert us that the vaccine is on the way
Of course, the last shipment took me by surprise and came with no warning, so our status could change quickly.
We have gotten several questions about reserving a vaccination and getting on a list.
We are not doing reservations. If we were, I am quite sure that all of our upcoming vaccine would already be spoken for by the lucky few that camped on the phone lines here. Until our supplies are truly adequate we want to put more thought into the process than a simple first come first served.
There are 2 possible "lists".
The first is Josie's list of high risk patients. She has kept this for years and uses it to alert patients every year when the flu vaccine becomes available. If you have a child that you believe is high risk for any reason, do talk to us about making sure you are on that list.
The second possible list would be the daily log of people scheduled to come that same day for available flu shots. Once we have the vaccine in stock we will be doing flu shot clinics Tuesday, Wednesday and Thursday 10-11:30 or 2-4.
What's going around?...Yesterday was the Monday after a 4 day weekend and I anticipated that it would be much busier than it actually was, which means things are fairly quiet out in the illness world.
We did have a handful of kids with several days of moderately high fever.
We are also seeing a bunch of patients with a mild tummy virus that comes and goes fairly quickly.
I will post again tomorrow unless we get a shipment today.
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