Email conversation about me signing a declination regarding the
flu shot:
To Sue
Deacon, December 6:
Good
morning,
I am one of the
volunteer doulas and I normally sign a declination for the flu shot. I have
lost/misplaced in cyberspace the email of the woman I contacted last year for
this. Would you be so kind as to point me in the right direction?
Thanks,
Pam
From Sue
to Abby Melendy, Samual Mooneyham, me, December 6:
Sure. I am assuming you know you will have to
wear a mask and that
Lynn and Sam are aware. You will contact Abby Melendy
978-630_6545
Abby.Melendy@Heywood .org
I will cc her and Sam on this.
Thanks!! Appreciate all you do!
Sue
Lynn and Sam are aware. You will contact Abby Melendy
978-630_6545
Abby.Melendy@Heywood .org
I will cc her and Sam on this.
Thanks!! Appreciate all you do!
Sue
From Abby to Sue, me, Samual, December 6:
If
a declination is signed then a mask will have to be worn when in three feet of
a patient especially a baby. If you are found to not be wearing a mask you can
be excluded from working on the floor.
Abby
From me to
Abby, Sue, Samual, December 6:
Yep.
This will be my third year of mask wearing. Thanks!
Pam
From
Samual to me, Abby, Sue, December 7:
Pam,
Have you signed
the declination yet?
I want to remind
you that you need a mask while you are now on the unit.
Sam
From me to
Sam, Abby, Sue, December 14:
Finally
signed it and emailed it in this morning. Wearing the mask is within 3 feet of
patients, is it not?
Pam
From Sue
to me, December 14:
Hi
Pam
I think you need
to check with Sam on when you need to
wear the mask. I
believe it has to be worn the whole time you are on
the unit as it is
a high risk area.
Please check with
him directly on this.
Thanks!
Sue
From me to
Sue, December 14:
Thanks,
Sue, I will check with him.
Pam
From me to
Sam, December 14:
Hi
Sam,
I just wanted to
double check on wearing masks. In the past I was only required to wear them
within three feet of patients so I thought I'd better make sure before I go in
and find out it is otherwise because I'm not.
Thanks,
Pam
From Sam
to me, Abby, Sue, December 14:
Pam,
I would prefer
that you wear a mask at all times while on the unit. You are right about
it requires to wear it within 3 feet of a patient. Due to infant having
an immature immune system, I would ask that you not go into the nursery please.
Sam
From an English perspective, I probably could have worded that
last one better. Still, me being me, I probably wouldn’t have. In fact, I did
look at it somewhat objectively, decided it might not be as easily understood
by someone who does not know me as it is by myself, and let it stand.
Also from an English perspective, it seems clear to me that just
having a Master’s of Science in Nursing and being a registered nurse and
neonatal nurse practitioner does not mean you are very good at English. If I
were writing Sam’s last response, I would have written it like this: “I would
prefer that you wear a mask at all times while on the unit. You are correct
about hospital policy requiring masks to be worn within three feet of a
patient. However, due to an infant having an immature immune system (or due to
infants having immature immune systems), I would ask that you please not go
into the nursery.”
In all fairness, I realize that Sam probably is quite busy and
does not have time, or even the inclination, to check his emails for grammar,
punctuation, etc. Especially when the email in question is being sent to a
lowly volunteer.
Such things do matter to some of us lowly volunteers. Perhaps they
matter too much. At the same time, I remember sitting at an awards banquet not
long before graduating from MWCC. My only reason for being there was because I
was in the honors program. I had a GPA of 3.91 at the time and while awards
were being given out, the nursing students often had their GPAs announced.
Quite frankly, if mine had been even 3.5, I would have been embarrassed. Most
of these people had in the neighborhood of 3.0. I get that some of the classes
are hard. I get that some of these people were not traditional students in that
they had children and a life outside academia. However, I also get that I am
not overly fond of the idea of being treated or seen by a doctor or nurse who slid
by with a 3.0. That’s a B average, for goodness sake. Average. If he/she did
not get solid Bs, it means that for every A, there was a C. Do you want to know
why mine was a 3.91? Because I got a B and a B+ amid my mostly As. And the B
was because my mentor didn’t like me much.
Also, what good is being fluent in medical terminology if you are
not able to adequately communicate in English?
This is what my declination looks like:
Just in case it might be hard to make out my reason to decline, it
reads, “I fail to see the benefit of subjecting myself to the possibility of
being sick for potentially several weeks in order to avoid the inconvenience of
having to wear a mask for a few hours.”
Seriously. I’m pretty sure I’ve had the flu twice in my life. I’ve
had strep throat a few times, I used to get tonsillitis like clockwork in the
winter, I very rarely have a cold. I do have allergies but I can tell the
difference between allergies and an illness.
Five years ago next month, I got a flu shot because I was
completing a phlebotomy internship and I had to wear a mask otherwise. I think
if I didn’t have to wear glasses, I might have just worn a mask but when you
are sticking needles in people’s arms, you kind of need to see what you’re
doing and when I have a mask on with my glasses, I often get foggy and can’t
see as well as I’d like. I think if I had it to do over again, I’d ask to
complete my internship after flu season.
Still, the past is in the past and can’t at this point be changed.
Later that same year, I got a second flu shot because I was
entering the flu season again as a volunteer doula at the hospital. I hate
masks and just thought it would be easier to get the stupid shot. However,
after that second shot, I didn’t feel well for about two weeks. For that entire
year and the following, I felt like crap a lot. I didn’t have really full blown
colds and I didn’t get the flu, but I just spent way too much time feeling
unwell.
Since then, I’ve declined. Last year, I went in with Jonathan and
Elizabeth when Rebecca was born and because they were personal friends, I went
as a private doula rather than a volunteer because I thought it incredibly
stupid to have to wear a mask around them when they hadn’t had flu shots either
and I saw them on a minimum once a week at church and often during the week as
well.
Let’s talk for a moment about how the flu spreads and how to avoid
it. I’ve borrowed heavily from WebMD for this. It appears that the flu spreads from one person to another via the
little droplets of goo that are produced when you cough or sneeze. This goo
flies through the air and gets literally everywhere including other people and
whatever surfaces are near by. If you breathe in the goo, or it lands on your
mouth or nose, guess what? You’ve been infected. If you inadvertently touch the
goo that landed somewhere and then touch your own gooey places on your face
(think eyes, nose, and mouth) within 2 hours of the goo landing, guess what?
You’ve been infected. Sounds like fun, eh?
What are the best ways to avoid catching or spreading the flu?
Well, webMD has seven suggestions that they list before mentioning, as the CDC
wants them to, that the best is a flu vaccine. We’ll get to that in a bit.
Those seven suggestions are:
1. Keep your distance. Big duh on that one. I mean, seriously.
2. Stay home. Bigger duh on that one. One of my pet peeves is when
people take their obviously sick offspring to church. Maybe they aren’t
concerned about their own family, but I am about mine. Keep your sick self and
family home, dude.
One of my favorite sick stories happened at the library in Bonners
Ferry once. It doesn’t involve the flu, but it could easily have been that
rather than what it was. I was at the check out desk and was very pregnant with
Seth. I had Cedric, Amena, Daniel, Joanna, and Laura with me although Joanna
and Laura weren’t right at the desk with me. This woman who can barely speak
says, “I had to check out a few books to keep me occupied. The doctor just told
me I have strep.” Are you freaking kidding me? You were just breathing and
coughing and probably sneezing all over the library where I and my children
were and you have strep throat? Stay the heck home. Seriously. Idiots abound.
3. Cover your mouth and nose when you sneeze or cough. Really. Do
this. Don’t just cover with your hand which you can then go and touch things
with and don’t just cough or sneeze into your elbow because it isn’t going to
catch everything. Use a Kleenex or paper towel or napkin or bath towel or
something. Cover your whole head. And then properly discard or wash whatever it
is that you used.
4. Wash your hands—a lot. You think? Yeah. All the time. You need
to wash your hands like I do. I wash them when I’m washing dishes or cleaning
the kitchen or reading or cooking or watching Vikings (because, you know, they
didn’t) or any other activity I happen to be doing. Wash your hands. Wash them
so much you need to use lotion because they’re all red and chapped. Well, maybe
not that much. Or maybe that much.
5. When you wash your hands in a public restroom: they have a
whole list of what you should do in this instance. Basically, use warm water,
hold a paper towel under an arm, use soap, sing Happy Birthday or the ABC song
twice while you wash, and rinse. Dry, use the towel to turn off the water and
then use a towel to open the door. Some people do this all the time. For me, it
depends on how dangerously I feel like living at the moment. Generally, I
prefer not to use public restrooms and I rarely sit on a public toilet seat,
never mind touching the sink or soap dispenser or towel dispenser. I mean.
Yuck.
6. Don’t touch your face. Within reason, here, you know? If you
are in the shower and you need to wash your face, go ahead and touch it. If you
haven’t washed your hands for an hour or two, maybe you should do that first.
7. Practice good health habits in general. You know, eat good
food, get enough rest, relax, exercise. Basically, be healthy and don’t add to
the stress of just living in this germ infested world.
Got it? Good. Just common sense. Which is another subject
entirely.
Now, flu facts. Here is a poster that is on the door of the exam
room in which Amena and I spent way too much time in October:
Let’s examine this. Up to 1 in 5 people get the flu. One in five.
That’s 20% of the general population. If I am a woman of childbearing age and I
am pregnant, I have approximately 1 in 3 chance of having a cesarean section.
That’s 33%. So, if I’m a woman and I’m pregnant, I have a better chance of
c-section than the flu. Based on that, I think I’d take my chances.
The population of the US is, according to quickly found
information online, about 325,256,236 as of right now based on UN estimates. I
don’t trust the UN but I’ll take that number. Out of that number, up to
65,051,247.2 people will get the flu. That means that possibly more than
260,204,988.8 people will not get the flu. Are we good so far? Okay.
More than 200,000 hospitalizations result from flu-related
complications every year. So, out of the 65,051,247.2 who get the flu (even
though that’s an “up to” number), 200,000 will end up in the hospital. That’s
like 0.3% of all the people who get the flu. That’s .006% of the general
population. Statistically, that is not a big deal.
20,000 children under the age of 5 are hospitalized every year
because of influenza complications. I’m guessing that those are part of the
200,000 but I could be wrong. Let’s just go with the idea that they are. That’s
10%. Ten percent of those hospitalized are under the age of 5. I don’t mean to
make light of a child being sick, but that’s 0.003% of those who get the flu
and 0.006% of the general population. These are pretty small numbers.
And they get smaller.
Flu can be deadly for young children. In 2014-2015, 148 pediatric
deaths were reported to the CDC. 148 out of over 65 million. I’m not even going
to break that down.
90% of influenza deaths are in people age 65+. Same thing. I’m not
breaking that down.
You can go to the CDC website and there you will find a lot of
numbers and tables and what they will be telling you is that the flu vaccine
helps prevent both deaths from the flu and people from even getting the flu.
What they don’t really point out very well is that they really don’t know. They
don’t really know how many people get the flu because not everyone who gets it
goes to the doctor. Not everyone who gets a flu shot reports adverse affects
and even those who do often are told that their symptoms are not related to the
shot. You can visit them here and see what they have to say.
What would the numbers look like without flu vaccines? Who knows.
There are some things to remember, though. For one thing, each
year the flu changes. The flu shot changes. Each year the flu shots have
vaccines for those flu strains the experts think are most likely to be
dominate. What on earth does that mean? It means that even if you get the flu
shot, you could still get the flu. It could be that these experts are
completely wrong or that you were just exposed to a different strain or
whatever. For another thing, it’s all just a bunch of guess work. They, meaning
the experts, don’t really know how many people get the flu each year. They don’t
really know how many people have adverse reactions to the shot. Even when
someone reports an adverse reaction, it is not often recognized as such.
Don’t be a sheep and blindly follow the masses. Be a goat and do a
little research. To me, the numbers, my own personal experience, and my general
mistrust of the government just do not justify subjecting myself and my family
to this. However, if at the end of the day you still think the flu shot is the
way to go, I’ll still be your friend. I might think you’re crazy, and you’ll
probably think I am too, but that’s okay.
Now, if you'll excuse me, I have a Billy Idol video to finish watching.