Jan 102013
Fall's ultimate fashion accessory . . . the flu shot band-aid!

Fall’s ultimate fashion accessory . . . the flu shot band-aid!

As you have probably seen in the news, the flu season is particularly harsh this year. Hospitals are overwhelmed. Even here in Fredericksburg, hospitals are overwhelmed with patients.

Our family is not affected (knock wood) because we all got our flu shots this year. We get them every year whether there is a harsh flu season or not. Because the flu has struck really early in Washington in years past (once in October), once I see flu shot signs go up in August or September, I rush to get everyone in ASAP because I know it takes a few weeks for the immunity to take effect. Usually, we have to wait a few weeks to get pediatric flu shots for the youngest members of our family. This year, my son got his first flu shots (2 of them) at the pediatrician.

In 2004, there was a national flu vaccine shortage and people were asked not to get the vaccine unless they were in a vulnerable group. My husband and I did not get vaccinated and we got hit HARD by the flu that year. I am not sure if I have ever had a true flu virus before that year. Once you have experienced true flu it is unmistakable. Your body is so exhausted, it hurts to move. You have really high fever and you feel delirious and spacey. I could not get out of bed for 24 hours when I had that flu. I have the “gift” of being able to sleep even when I feel terrible so I just slept it off. My husband can’t sleep when he feels terrible so he was up trying to use the computer or read. I heard him walking in the hallway and he suddenly collapsed! Even though I was barely functioning, a jolt of adrenaline ran through me and I ran to him.

“Are you all right?” I asked, lightly slapping his cheeks to wake him up.

His eyes opened, “I’m fine! What are you doing?” he inquired puzzlingly, apparently unaware he was lying down in the hallway.

We recovered from the worst effects after a few days and were fine but the amount of energy it took to get through those first hard days was immense! We were young and healthy and it was tough so I can’t imagine how tough it would be if you were weaker to begin with. As a parent, I cannot afford to be that ill and still manage to take care of my children.

It is somewhat sad to me to think that a lot of the flu is preventable and that so few people take advantage of the vaccine. Sure, now that there is a crisis in Massachusetts, everyone wants to get a shot and there are now shortages.

Imagine if you are in Boston right now and you just happen to have a heart attack or some other health emergency. Good luck getting in at the local hospital! Those hospitals have no capacity right now to handle any other emergencies. And even if you do get in, wouldn’t you be worried about your recovery being compounded by exposure to the flu?

Yes, the vaccine isn’t perfect. It isn’t always a perfect match for the flu virus circulating (but this year it is). There are always some people who can’t get vaccinated due to medical conditions or lack of money. But if most of us who could get vaccinated did, we might be able to reduce the severity of these flu outbreaks and protect the most vulnerable members of society.

If you happen to have a fear of needles, you really need to know that many places offering flu vaccine promise really tiny needles that you can hardly feel. This year, the nurse administering the vaccine to me and my girls had some sort of palsy where she was shaking. “Oh, this is going to hurt!” I thought but was determined to go through with it. The nurse shook as she put the needle in and even as she injected the vaccine and would you believe it didn’t hurt at all? Truly. Those needles are really tiny. And, if you really hate needles, some places have the “intranasal” vaccine where they just put a few drops of liquid up your nose.

So next year, when you first see that sign for flu vaccine, pull the car over and get vaccinated!

If you are affected by the flu this year, you have my sympathies. You may find my previous post helpful:

10 Natural Ways to Pamper Yourself When You Have a Cold

Salud!

Posted by anne Tagged with: , , ,
Jun 052012

As I mentioned before, we share our garden space with numerous visitors.  For some people (and usually me) this can be the icky part of gardening.

Is this a mole beneath my daughter’s earlobe?

Nope.  It’s a tick!

Yes, ticks are back.  We have pulled several off already this year.  Time to consult my tick suggestions from last year.  While ticks are creepy, I at least take comfort in the fact that most of them do not carry disease.  We are now very careful to examine all scalps and earlobes in our household after coming in from outside.  For some reason, we are always finding tick bites in the areas closest to the head.

My husband’s skill as a tick surgeon is improving.

 

I added a pair of small tweezers to our car emergency kit to address ticks. While I was at it, I also added a pair of nail scissors.

Covering up from head to toe while gardening at this time of year is great prevention for tick bites.  My go-to gardening outfit is the supremely unfashionable combination of jeans tucked into my socks, a turtleneck, tennis shoes and gardening gloves.  Yes, it is hot at first. After hours of gardening, however, the only places I was bitten (by mosquitoes and spiders) were the small space between the uncovered part of my neck and face and the spots between my gardening gloves and long sleeves.

Tick fashion . . . so lovely!

Are ticks or other insects bothering you this year? What do you do to prevent tick bites? Please share in the comments.

Posted by anne Tagged with: , , ,
May 122011

"Russian children's book endpaper close-up: musical mosquitos." Photo by Anne Norman. From the Flickr Creative Commons.

Since I started off this week addressing an ailment (the common cold) that is currently impacting our household, I thought I would end the week addressing another of our typical yet bothersome ailments, bug bites.

There are probably few spots on planet Earth where the climate is hospitable to humans and insects don’t live or don’t bite people. (If anyone knows of such a place, please let me know!) Here in the mid-Atlantic, our hot, humid summers bring a host of unwelcome biting insects. With our recent rains and warmer weather, the bugs are hatched and all over the place. Patio season here in Virginia lasts just about 3 weeks in the early spring and maybe another 3 weeks in late fall when most of the bugs are dead. The rest of the summer we spend swatting, spraying and scratching to avoid our infestations.

The bugginess of an east coast summer is a major inconvenience. When we traveled west last summer, we had to laugh when our families complained about mosquitos at night. “Where?” we had to ask. The mosquitos are so thick here in the east that if you go outside in the summer at any time of the day or night without bug repellant on, you are guaranteed to be bitten.

Mosquitos and ticks are some of the most troublesome insects due to their blood-drawing tendencies and their ability to spread disease. Below are a few key facts to remember about these insects and a few ideas to keep them at bay.

MOSQUITOS

Protein-Seeking Females

According to the Bugman, mosquitos primarily feed on the nectar from flowers and only the female mosquito bites people. The female is seeking protein from our blood to help develop her eggs. The bites can take up to two days to appear and typically cause extremely itchy pink or red bumps.

Yummy People Beware

Certain people are more delicious to the mosquito than others. I have the misfortune of being one of those “yummy” people. When I am outside with my husband and children, the mosquitos seem to come right for me. I will end up with dozens of bites while everyone else gets one or two. When I was outside the other day wearing long pants and a long shirt, every area of my body that was not covered by clothing was bitten but my children were untouched. The Mayo Clinic says mosquitos tend to prefer: men, people with type O blood, overweight people, and people who generate a lot of body heat, such as those wearing dark colors.

Dangers of Mosquitos

In the United States, West Nile Virus is the most common illness transmitted by mosquitos. Most people infected with West Nile Virus don’t develop any signs or symptoms and the virus doesn’t seem to be a big problem. A few people, particularly older adults and those with compromised immune systems, may develop severe reactions to the virus, including headaches requiring hospitalization. In other parts of the world, malaria and dengue fever are the most feared mosquito illnesses. Rarely, some people have a severe allergic reaction to mosquito bites requiring urgent medical attention.

Why We Shouldn’t Scratch

The itchiness of a mosquito bite is nearly unbearable. If you can avoid scratching, you have more willpower than I do! Scratching can apparently lead to skin infections. To ease the itchiness, the Mayo Clinic recommends ice, calamine lotion, a hydrocortisone cream, or a paste made with water and meat tenderizer!

TICKS

Blood-feeding parasites

Unlike mosquitos, ticks only feed on the blood of other animals, primarily mammals (especially the white-tailed deer) and birds. Ticks primarily live in wooded areas, near sources of water where animals come to drink and in meadows. Once a tick has a full meal, it typically drops off its host and waits in the tall grasses for its next victim to come along.

Dangers of Ticks

While most ticks do not transmit disease, there are at least 10 serious diseases known to be transmitted by ticks in the United States. I was interested to learn that the type of tick that bites you determines what type of diseases you are at risk for. Not all ticks carry the risk of Lyme disease, which is probably the disease we have heard the most about. Here on the east coast the two main types of ticks are “dog ticks” and “deer ticks.” Dog ticks have primarily plain brown bodies. Deer ticks also have brown bodies but are distinguished by their black legs.

Because this is an issue that has caused enormous concern for our family in the past (although fortunately no tick-borne diseases), below is my quick visual identification guide.

Type of Tick Diseases Carried Signs to Watch For
“Dog tick”

"American Dog Tick (Dermacentor variabilis)" Photo by Jerry Kirkhart. From the Flickr Creative Commons.

Rocky Mountain Spotted Fever

Tularemia

Fever, headache, nausea
a flat, pink rash on wrists, forearms, appearing 2-5 days after the onset of fever (sometimes does not appear)
Skin ulcer appearing at the tick bite site
Swelling of the lymph glands
“Deer tick”/Black-legged tick

"Tick on Stratified Squamous Epithelial Tissue." Photo by Jerry Kirkhart. From the Flickr Creative Commons.

Anaplasmosis

Babesiosis

Lyme Disease

flu-like symptoms (fever, headache, chills, etc.)
blood tests showing anemia or low platelet count.
circular rash
Lone-star tick

Lone-star tick. Photo by CDC.gov.

Ehrlichiosisis

STARI (Southern-Tick Associated Rash Illness)

flu-like symptoms and rarely a rash
bulls-eye rash at site of tick bite

Where to check for ticks?

In our experience, our children get bitten by ticks far more often than we do. We think this is because they are primarily picking up ticks when they roll around on the grass. 95% of the time the tick is embedded in their scalp. Ticks in the head area seem to be the second-most common spot for us, such as inside the ear. The CDC also indicates that under the arms, in the belly button and behind the knees are other common hiding spots.

How to remove a tick

If you have never had the pleasure of removing a tick, it is not a fun process. The ticks are generally tiny and they dig in hard. Most guides suggest using a tweezer to pull the tick out as close to the head of the tick as possible. It usually takes us a few tries. When a tweezer is not available, using toilet paper or a napkin to grip the tick has worked for us. When the tick comes out, many guides ask you to save it in a jar or bottle. If that is not possible, at least identify what type of tick it is. We generally flush them down the toilet so they don’t crawl out of the trash to bite us again!

What can you do to avoid getting bitten?

Action Mosquitos Ticks
Avoid being outside at dawn or dusk X
Get rid of any standing water (such as children’s wading pools, birdbaths, etc.) X
Fix holes in window and door screens X
Mow the lawn frequently X
Create a 3-foot wide barrier of wood chips or gravel between lawns and wooded areas X
Conduct a full body check after you have been outside X
Shower within 2 hours of coming indoors X
Examine gear and pets when coming in from outside X



An Overview of Insect Repellant Options

Protective Clothing.

Wearing long, light-colored clothing (with the attractive fashion statement of tucking your pants into your socks) and/or mosquito netting provides a physical barrier to bugs.

Permethrin-Impregnated Clothing

As an alternative to wearing bug repellant directly on your skin, you can buy clothes with bug repellant in the fibers that typically lasts about 70 washings. Many of the clothes also build in UV protection as well. Note: this would be a great birthday or holiday gift for the outdoors person in your life. You can also buy a spray to spray your own gear and clothes but there are several warnings to be careful about breathing in the odors from the spray.

DEET

DEET is probably the best-known insect repellant and the one with the longest track record.  DEET can cause skin irritation at high concentrations or in sensitive persons like small children. Products containing higher levels of DEET generally offer the longest-lasting protection and would be one of the better choices if you are outside for an extended period of time.  Because DEET is a strong chemical, it is generally advised that you take care to avoid putting it on the hands of children and that you don’t use it on babies under 2 months.

Picaridin

Picaridin is another type of insect repellant that is an odorless alternative to DEET. It is a newer repellant and not yet used as widely as DEET. Note that it is kind of hard to identify Picaridin insect repellants. For example, the Off! Skintastic line generally contains DEET with the exception of the Family Care Clean Feel variety below.

IR-3535

IR-3535 is another type of insect repellant. It is relatively new in the United States. It is generally not as effective as DEET or Picaridin but provides another option. The Avon Skin So Soft line seems to be the primary product with IR-3535 in it and one of the few products that combines SPF and bug repellant in one bottle!

Metofluthrin

If you are severely allergic to DEET and other repellants or just don’t like wearing them, the newest products out there are clip-on fans that blow the repellant Metofluthrin into the air. I tried one of these last summer and in general it did work well but there are some drawbacks. If you are active and moving about, the fan may not spray in every direction you need it to. I also frequently repositioned the fan to blow on different areas to make sure my airspace was covered. Sometimes I had to unclip the fan from my clothes and blow it right at determined bugs. It’s not quite as carefree as insect repellants you apply to your skin but in my experience it did work.

Oil of Lemon Eucalyptus

Oil of lemon eucalyptus is one of the latest natural bug repellants and has been shown to be remarkably effective. It compares favorably to the lower concentrations of DEET and Picaridin making it a good choice for casual use. For serious outdoor adventures, however, you probably still need the protection of a strong DEET spray. It is generally advised that you do not use this product on children under 3.


Citronella Oil

Citronella oil has been around for a while and whether it works depends on how bad your bugs seem to be. Citronella is not very effective on our bugs but if you don’t have that many bugs it may be a relatively safe and effective alternative to the other chemical sprays. Citronella oil seems to be often used in baby products where DEET is not safe to use.


Thiamin

The Mayo Clinic indicates that there is some evidence that taking 75-150 mg of thiamin each day can change your body scent and make you less attractive to mosquitos but that this issue is still being studied.

Mosquito-Repelling Plants

There are a few plants with insect-repelling properties you may consider adding to your garden.  I have no idea if this will actually work but I was intrigued to find out that one of Virginia’s native plants has the name “Bugbane” and is thought to repel mosquitos and flies. I planted several last fall in my garden and will see this year whether the claim is true.  The classic mosquito-repelling plant, however, is a scented geranium specially bred to smell like citronella oil. As you can see from the Amazon reviews, people have mixed opinions on whether this plant is effective. Citronella oil in general has not shown to be as effective as DEET and other repellants but it may be worth a try.

What is your secret weapon against insect bites? Please share in the comments.

Posted by anne Tagged with: , ,
May 102011

One of the least pleasant and most common illnesses is the common cold. The average cold typically lasts close to two weeks (or longer) and the average person gets several colds each year. That’s a lot of time spent sniffling, sneezing, coughing, congested and generally feeling crummy. This past cold and flu season, our family was hit especially hard by various cold viruses and spent the entire month of February under the weather—barely recovering from one virus before being hit by another. The cold viruses also seemed especially potent this year. We thought we were done with these illnesses until being hit by a last-ditch spring cold virus just last week.

While there are numerous over-the-counter cold medications out there, there are situations where you can’t take medicine. Pregnant and nursing women, for example, are often advised to take as few medications as possible and the options for medicating small children are very limited too. Sometimes we need to fall back on natural remedies.

What are some natural ways to take care of yourself when you have a cold? Below are a few tips.

1. Sleep. When you are having trouble breathing, sleep is challenging but it has always been my experience that the more rest you can get, the faster you will recover. Sleeping in odd positions can help. Elevating your head with pillows or even hanging your head over the side of the bed to allow gravity to help with drainage have been helpful to us.

2. Pamper your nose. When you blow your nose so often it is rubbed raw, give it a little pampering. Tissues with lotion in them or cotton rags that you can launder in hot water are softer on the nose than regular tissues. Putting a little Vaseline on your dry nose helps too.

3. Water therapy. A dermatologist once told me that plain water is a proven pain reliever. There is something about the sensation of water on the skin that deadens our sense of pain and discomfort. When badly congested, there are few therapies more effective than taking a long, hot shower or soaking in a hot bath. For a treat, add a menthol shower tablet or body wash to aid in decongestion. If necessary, take more than one shower or bath a day. In the middle of the night, filling the sink basin with hot water and putting a towel over your head to breathe in the warm vapors is one of the best decongestants out there. Some swear by humidifiers.

4. Spicy soup/spicy foods. Without a doubt, hot liquids of any kind help with decongestion. If you can take your food spicy, you can add another natural decongestant to the mix. We have tried numerous grocery store canned soups but find that they are “mild” at best in their spice content. If you can work up the energy to cook, you could make your own soup such as James Wong’s Goji Berry and Chicken Soup.  Otherwise, having a good Asian take-out restaurant in your contact list has been a lifesaver for us. In our old apartment, we relied on hot and sour soup from a wonderful Chinese restaurant and in our current home, we rely on Thai Tom Yum or Tom Kha soup from ThaiTown 56.  While hot soup may be a tough sell for most children, our children will eat some spicy foods, with yellow curry chicken and ginger chicken being particular favorites.

5. Honey and Lemon. Continuing the hot liquids theme, honey and lemon are fantastic for soothing sore throats and delivering a boost of vitamin C. Find a large mug, squeeze in half a lemon and a big squirt of honey and fill the rest with hot water for a simple “tea.” Note that you generally can’t give honey to children under 1.

6. Neti Pot. My doctor suggested a Neti Pot for cold relief to me this year. I had never heard of it before. It is essentially a little teapot that you fill with warm water and a packet containing a mixture of salt and baking soda. You then pour the water in your nose! It sounds kind of scary and some people complain that it gives them the sensation of drowning. I was a bit nervous to try it myself. To use the Neti Pot effectively, you need to relax and focus on breathing through your mouth as you pour the water in your nose. Yoga training helps here. I have had mixed results with the Neti Pot. It did not do very much in terms of decongestion for me and was not nearly as effective as a hot shower. After using the Neti Pot for one cold, I also ended up with a sinus infection and ear pain. This could have been a coincidence but there are warnings on the box that each person’s sinus anatomy is unique and that some sinus patterns are not compatible with the Neti Pot. So, be careful and consult your doctor if you have questions. I don’t rely on the Neti Pot for primary decongestion relief but if nothing else it is a weird distraction when you are not feeling well and possibly helpful. Due to the breathing focus required, this remedy is for adults only.

7. Orange Juice. Again, more vitamin C is generally a good thing when you are ill. Orange juice is generally acknowledged to have the biggest vitamin C punch of all the fruit juices and also gives you B vitamins and potassium. This is one remedy kids will tolerate too!

8. Light exercise. Mornings are especially miserable when you are congested. Sometimes just getting out of bed, being upright and walking around a bit or breathing some fresh air outside helps with decongestion.

9. Cough drops. When your throat is positively on fire or you are in the middle of a coughing fit, cough drops (although I suppose technically not a “natural” remedy) are a must. My doctor indicated that over-the-counter menthol cough drops were generally safe to use during pregnancy but to check the labels for ingredients. I found that cough drops vary widely in their menthol content with some having none and others quite a bit along with other medicines. Some cough drops are little more than hard candies with sugar and flavorings. You could also make your own, such as James Wong’s Elderflower Throat Lozenges. Because of the risk of choking, cough drops are out for kids but one friend suggested popsicles high in vitamin C as an alternative.
10. Laughter. When you are feeling awful, giving a lift to your spirits has been shown to boost immune function. Stopping by the Red Box to pick up a good comedy or checking out the latest viral videos on YouTube is another natural pick-me-up.

Two other things to think about for cold care recovery.

Mom care. Now that I am a mother, life gets especially hard when a cold virus hits the house. Sleep is nearly impossible when small children feeling ill need my attention constantly and are sleeping fitfully themselves. In our home, the primary burden of nursing care for the children falls on me as my husband needs to focus on getting well himself so he can head back to the office. Moms need a little care too, however. I look for every small stretch of sleep time I can get and ask my husband to stay me for a several hour uninterrupted nap once a day in the worst days of the illness.

Post-illness disinfection. Once everyone is on the mend, take a few minutes to clean the bathrooms and wipe down doorknobs and lightswitches. If you have had a bacterial infection, you might consider changing out your toothbrush too. While you are not really at risk of reinfecting your own family, you can prevent the illness from spreading to others.

What is your favorite cold remedy? Please share in the comments.

Posted by anne Tagged with: , ,
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