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Legacy Health Flu Season 11.9.14

Nov 4, 2014|

AN INTERVIEW WITH DR. BRIAN YOUNG, CRITICAL CARE PHYSICIAN WITH LEGACY HEALTH ABOUT THE FLU, FLU IMMUNIZATION, AND GENERAL HEALTH IN THE WINTER MONTHS.

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Automatically Generated Transcript (may not be 100% accurate)

This is microscope in Entercom radio Portland public affairs program and Gary Watson and it's that time of year it's cold and flu season. You've probably already had friends and coworkers call in sick today on the program we're going to be talking about the flu and how to prevent it. And I'd like to welcome doctor Brian Young critical care physician and clinical mice president of medical specialties from legacy helped cement the scope either doctor. Good morning to wrap absolutely. So it is flu season officially right. Absolutely. We usually think about the influence this season starting end. October. Now we're definitely in the middle of it end well activity first. Influenza in Oregon has been a little bit low weak and anticipated in the build up over the next several months of public continue. Well into the spring these. Have there been any reported cases of the flu yet this year. Not yet seen here in Oregon and they tend to build a little bit later here in organ to another. Places in the country but I think we can see it and anticipate that like always we're gonna have a number of a number of cases. Does he get here later beef to schools are lucky. Especially if it's that it's. There is some. Influence of geography and then we usually see that it's since its start more in the southeast. And eastern part of the United States in the spread westward. It's probably related a lot of different factors or that. So maybe explain to us what exactly the flu is. Her when we talk about flu we're talking about something different than the common cough and cold then and the flu that we talk about it influenza. Influenza is a viral illness. It's very common it's out there Indian environment and we can spread that through. Coughing in Paris polite. Transmissions so there's a lot of person to person contact. Symptoms for flu can very but it typically starts with muscle aches just not feeling well beavers. Oftentimes been betting it can develop in the cop in cold then respiratory symptoms with shortness of breath. Sometimes nasal symptoms. But the patients. Majority of patients will probably not have serious symptoms let it. The ones we often worry about the ones that we sometimes see in the icu were in the hospital. Are the ones that develop those severe respiratory infections and they. Can develop widespread ammonia it can be life threatening and it can be very serious and debilitating. So we take a lot of we treat. Lou and influence that very seriously because it's different than the common cold I. And the flu is highly contagious is that correct. It is it is easily spread among people typically in the winter months when we're all staying inside together. There's a lot of cook close contact and if someone's got a runny nose or coughing sneezing. Period he does to share that. One of the big recommendation than that we're also wrecked. Putting out there for someone in the little flu season we should be doing extra hand washing. That's the most important things we can do. To protect each other protect our families and certainly we wanna do that aggressively here in the hospital all the time. I could hand washing covering your mouth. He's being in covering it with you with your elbow may be rather than your hands and shaking hands with someone we wanna do a good job of protecting each other. I don't hear the radio station we have the signs and all of our restaurants that tell you the proper way to wash your hands comes in pretty handy but there's more to it than just kind of put your hands and it's a water. You've got to do a good job with it you know using. Don't based. Warm waters is perfectly legitimate speech that Alicia Hanson and you're right that's what kills the bacteria. Until the viruses that we can transmit share with each other. The other alternative mussina saw little bruised alcohol based preparations a little hands sanitized there's. All being. Is very effective until the virus very effectively. But you gotta use that stuff religiously you got to be very diligent about covering all parts of your hand and lead to I could travel which. Is an anti bacterial soap helpful. It is just as effective date it will clear often and take care of the viruses as well as I antibacterial. As well as bacterial particles that may be on our our hand. So I whatever term means he used just used it regularly. No one way you can prevent the flu is by getting a flu shot is that does that prevent the flu or does that to do. Does that lessen the symptoms are for all of the above. Oil all the above and so were very much recommending assistance from the national guidelines that international guidelines. Here in the United States or CDC put that recommendation. And it's changed over who should get the flu shot. That's changed those recommendations over the last several years so now we're seeing really anybody. Can can and should get the flu shot six months and older. There's really almost no exclusions. To the flu shot these days it's very safe it's very active. Well nothing has a 100%. It's our best means of preventing. You catching the flu. And if you do happen to get the flu having previous vaccinations and certainly it and you wait. The symptoms and make it less severe so hopefully you're not one of those patients that did go developed this severe respiratory symptoms. Because you worked good enough to get immunized. They're the things that and I think it's really important to over to recognize this. Getting you organizations. Help those around you help your family helps protect the people you work with those close contacts that. Like we talked about that maybe. Vulnerable for us sharing. Influence of particles so you're not only doing something good for yourself you're doing good for everybody else as well. Now the time to get immunized. We're right in the beginning of the season and if you get immunized now you should be protected for the several months that these influences seas and will last. So I would I highly encourage Arab who want to get out there and get that shot it is early. The are very fortunate this year and our health care systems. That there is really no shortage of flu vaccine and and we're hoping people will take advantage of it get immunized right away. And legacy health is offering some free flu vaccines this coming Tuesday till about that. Yes this is that there's a wonderful opportunity we're doing it ain't injection conjunction with veterans day. Veterans day so on Tuesday November 11. Legacy health will be offering leash free flu shots for everyone adults and children six months enough. All five of our legacy hospital campuses those in or again and our seeming creek. Facility in Washington. Will be offering. Immunizations on a first come first serve just popped in bases. We certainly wanna do this and in recognition and support of our veterans but is everybody in communities is eligible for this. It's a great opportunity. We've done one previous. Community immunization. Offering back in January when you're in the middle of flu season last year and we did over 400 patients. Immunize kingdom and in about four hours were opened it to serve you break that record. This year and we would really love to see everybody come in and get their flu shot. That's some quick moving nurses. Assessment that the. You know they're they're taking time with each patient and they do do the screening and talking about that the flu shot. It was not just over. And assembly line type of process but we want that we wanna make sure we've got the resources. We've got limits Linear thought vaccine available and we should be able to handle all comers sport. Henson's legacy health is offering this free Britain Cuba person doesn't need insurance is that correct. Don't need insurance combined and it will take care of you regardless. Everything it's it's this is police. Something legacy is as our responsibility to our communities and an art our patients in. And the people that we live with so that we can not offer this and and hopefully help people out that they now feel we get and other. Venues. For their invitation. In a flu shot doesn't hurt I can attest that it had mine this year did not hurt. You know people will have different reactions but I had I totally agree with two decent release all small Beatles. It's quick it's painless it's over you get a little band aiding a lock and added there and you don't have those big muscle. Ache and pain that maybe we're associated with previous invitations. What about the people that sale I don't wanna get a flu shot 'cause it'll give me the flu. It's total total myth than misrepresentation. And I know that that's out there were trying to counteract that. Urban urban mythology. But the truth is you can't get the Lou from the flu shot each are in activated by irises it. It depends on. Does the mechanism of but the way it works is to teach her own body. In relating it immune system to build up antibodies to the flu virus particles but it certainly cannot cause. The infection. Now you're already sick with maybe just ahead cold or something in you get a flu shot can that cause any issues. You know you really shouldn't it its public police separate any symptoms that come out there are those aches and pains or maybe those other viruses that can. Can cause the common cold. The flu shots not gonna make those things worse by any means I think. We want you to get immunized it's not that it's not a reason to get or delay giving your invitation. It is that the if you're walking around with a cold right now getting immunized distill the right thing. There once you do get a flu vaccine how long does it take till it becomes effective. Yeah it's a good question and we're we're learning about these. This science and the mechanism of how vaccines work we're learning every day about it. In brief though it probably takes just a few days to build up taxable immunity for it. Your body is very Smart about responding to these vaccines in the vaccine as it is is engineered and that you wait to. Two really good it good quick response. We think that. Immunization. Will last to protect you against this terrible months to the alteration. Of the flu season if not longer so it's very efficient in the way that vaccine works with your body. And while again nothing is a 100% feature that means protecting yourself and protect him if amp envelope once around. And you only need to get one flu shot per year. That's correct yeah ditch your flu shot now so you'll be protected all through the whole year. If it has long lasting immunity in effect for it and you go through once and you take that small really painless needle and you're done with. Does someone need to get a flu shot every year. We do recommend every year at the flute those changed that virus. Has subtle changes in its make up. That requires. Each year. A slightly different. Vaccine. To be effective or. The vaccine includes multiple different. Lou tides two to make sure we're covering everything and as you might remember practically a few years ago we had H1N1. This Swine Flu type of virus. Influenza. Our vaccine this year certainly includes a component for that as well as the other types a influenza Avian influenza B. So yes we need a shot every year but the shots are very effective in their tailored for what they're expecting. But we're expecting to see is that the most common. Virus types. Through that Lucy's. How do you predict which flu is going to be around. Isn't PDC you know the World Health Organization pretty sophisticated in their tracking influenza outbreaks throughout the whole world. And they are seeing how those. Influence is shifting a what's the most common types of influenza are. It's so it's the multi. Monthly multi year process to develop these vaccines. But see our our doing again ongoing surveillance so that attic and we see in the United States. And certainly at a time we see an organ we think we've got the vaccine dialed in that's most appropriate for that here. We're talking today with doctor Brian Young his critical care position with legacy health all about flu in the flu season which is so definitely upon us. The doctor just a couple of weeks ago was visiting with some friends and they said oh I never get a flu shot because they never get sick anyway. And I said well I always get my flu shot and enjoyed ever get sick so and I can go. You know there are some people that that have that wonderful track record and I pay understand and I appreciate it. But just like we were talking about every flu season is actually a little bit different than before. In which you don't wanna do is be one of those patients. And one of those people that they I don't need the flu shot because I'm not gonna get big in the and you do get sick. There's an opportunity here. Two to really protect yourself. There's no way. You'll. Respond to it and and hopefully not catch it infections and means that you'll be transmitting it to the other people in your household or those close contact with you will work. Some people. Have gotten through this far but I don't think that's were a betting on I think it's it's. And in the end you much safer getting the vaccine in delaying it any Andy for. That says they're not super human and the. Nobody's super human we're all vulnerable at some level absolutely. Can you have the flu and maybe transmit the flu without having any symptoms. It's it's unusual. Typically will have those muscle aches and pains and some fevers and maybe of those upper respiratory symptoms like cough and cold easing. That's when you are the most actions. But the infectious. Period when you can start sharing viruses. May actually precede that by one or two days so. I wouldn't. Wait he's start having symptoms to say oh I need to isolate myself or need to consider that I may be sharing Lou somebody else. And flows very seriously many many people die every year from the flu is a correct. Absolutely it it is every year will have. In the United States thousands of people that well actually I have it tends to be our most vulnerable patients. Those who may be young. Are very young or those who may be a little bit older or those patients. Who have. Some other changes to their immune immune response. Patients who have gone through chemotherapy your cancer survivors those patients can be more vulnerable or patients with other chronic health issues. So yes it's very it's. As in my practice. Didn't care patients who are very sick in the hospital and in intensive care units we see the extremes have. These patients in its severe pneumonia is. They need mechanical ventilation support. They can be very very sick and in that social life threatening illness for them. Now thankfully most people who get the flu civil large majority of them won't have those severe symptoms. But it just not one of those things you wanna take a chance and pick yourself protect each other. And what should have the flu if you don't so. Treat yourself well can it turn into other issues can you got other problems. That's a very common problem now the typical blue course will run between five and seven days and most people get better. But again when you're in that weakened condition because of the virus that influences. Affects on yourself. You are more vulnerable. What we called secondary infections and some people will start off with what is of viral infection. And then pick up he's second serial. A secondary bacterial infection. Such as. Strep pneumonia Norris staph infection. So we again. You're not only protecting yourself on influence loop that you're protecting yourself from the consequences. Of what they've influenced me bring in another infections. Once you get back to back in 82 really are help so. And hopefully we'll all of this talk were kind of giving people the idea that they should get a flu shot the at a. It is I think I really do but sympathize with it at the I'm a big believer on this I get my flu shot first opportunity. I recommend it to my family friends colleagues there's just no reason not to get a shot you really wanna get out here did it did occur. The legacy health is offering free flu shots coming up this coming Tuesday to also a bit more about the working what are we don't get a flu shot. So so all of our campuses in in Portland we have legacy Emanuel medical center in legacy good samaritan out aggression we have legacy not good medical center. Down its wallet and we have legacy meridian park and in Vancouver Washington we have legacy increased medical centers. All of these sites will be offering. A free flu shots on veterans day you don't have to be a veteran anybody first come first serve. Six months and older Klein and where we're very happy to give you that immunization. And we sped it up so that there's different times available we'll have warning opportunities that may be on your way to work you can get your organization. And then while also has some evening opportunities from three to seven net in Gresham in Vancouver. And bad legacy good samaritan. Sort of a beer on your way home from work. Not committing get your flu shot just wanna have off from school and again if they haven't been able to get very immunization with your pediatrician or primary position. Bring them in as well we'll be happy to take care. And you were saying earlier you have plenty of vaccine available so you reckon well. Very very fortunate this year. Not the case at all this year there's a new vaccine available. Widespread we think it's an excellent match. For the potential lose. Viruses that we'll see this year so come on in will be open take care. That's coming up on Tuesday free flu vaccines we are offering some other vaccines on Tuesday as well to help those. You know very common and one of the big ones that we wanted to make sure. I dressing for our community in the patients at risk is swooping cough vaccine. I patients twelve and older can get it kept the tetanus diphtheria pertussis vaccine. We talked this can be particularly. Dangers and and in an extreme cases life threatening further younger patients. So it it and it's very contagious it's easy it's chair and spread among people. So if you wanna come in and you need also that tetanus and pertussis immunization we can take care that is seen time history you're getting your flu shot. That's pretty great. And one stop shopping. The as it is went chat stopping in and not tell you I had not had my own pets to shut needed it's loser this year. And so they did bang a flu shot in the left arm in my a tetanus shot. And get serious shot in the right arm and you know I walked out of there with little band aid then no muscle soreness at all. I'm a believer I'm I'm living testimony to get your flu shot distributed base. You lived to tell about it I got I got to practice what I preach the letter but the but who blew the mood of the population is most susceptible to the flu. Yeah it it's a tough case then everybody. Six months and older is eligible for the vaccine. But I I think the ones we really worry about are the ones who don't happen normal immune system they can be the most vulnerable. So those patients that who may be a little bit old Europe have. Had other medical conditions particular. Respiratory problems like. You'll peace deal broke hated those patients we really do recommend them getting their immunizations. We also recommend younger patients as we see a lot of influence. And respiratory infections in the younger pediatric population. The other patient population that I'd like that suspicious. Specifically mentioned as needing. Immunization are those patients who are pregnant and they are expecting the baby. We know those patients can get sick if you. If mom hit. Immunized. She's protecting herself and she's probably also transmitting antibodies to her baby that will protect the baby through the first six minutes of life. So it's really important. That everybody go out there and get your shots but these higher risk populations we wanna see them particularly coming and getting their immunizations that are clinic. You were saying earlier too that it's not only about stopping the flu for yourself but stop spreading the flu as well. That's right do you you'll help protect yourself you'll maybe potentially it can you wait this severity of Lou if you were able to pick it up. But think about those people around you that you're shaking hands with the people that those around her dinner table or your work environments. You don't want to be sharing flu virus with him so you're doing something good for you and you're doing good things for those around. Now Ebola has been in the news a lot lately and of course it's a very dangerous thing but the flu appear at that seems. Certainly much more common. And it could very clear by Ukraine played a million fold more common saying. Didn't that's probably about Matt order of magnitude in the United States we've had just that handful of cases of patients with a bowl. We know we're gonna see houses patience. Went influence. And unfortunately I think influenza has a much higher risk and ultimately having people diet that action in the United States Opel is there's no. Laughing matter is serious then we all need to to recognize that. But influence there's something we can deal with right now we have an immunization plan for influenza. So much more common it's so much easier to share it it's so much higher rent actually been a bowl its worst right now. In the last minute we have here look so talk again about the free community flu shot clinics coming up this Tuesday. Yeah and I guess what again invite everybody come out to where we're gonna take care of all commerce. Regardless of age regardless of ability to pay your insurance status. We're doing and on veterans to to recognize serve veterans but it's open to everyone. We have five campuses. In legacy health system. Within Portland in within our suburban communities. And we're offering morning hours for administration rosling evening hours were trying to make this conveniently it's possible. So that Whittier coming in before work or after work where do you want to bring the kids then in the we can take care everybody we have a new vaccine available we'll have plenty of people giving immunizations have really minimized. And you wait times. Come in it'll be efficient you'll be vaccinated children protected. And we're legacy is this is our responsibility to our community is so it's a great way to get back and help people. And I hope people take advantage of. Is there a place online where listeners can get some more information. You know this CDC has been excellent website and we will have links. To our immunization plan on our legacy help went as well. Excellent well doctor brainy young critical care position in clinical. Vice president of medical specialties with legacy health thanks so much for all the information you've given us today. IA I'm very happy to speak with you and again. I hope people just take advantage of this great opportunity in and do the right thing just didn't get immunized take yourself take care and job. Go get a flu shot. Dead at the clips thanks again after. Yeah microscopes and Entercom communications public affairs program. My name's Gary and if you have a nonprofit or public affairs organization that you'd like to let others know about you can email me at macro Scopes @entercom.com. Remember inter com starts with a B four you can go directly to the station's website click on the community link and submit your information there. Also we like to hear this program again you can visit our podcast page at microscope PDX dot com. Thanks for listening to microscope and enjoy your weekend.