We had our flu shots this week as Ella Grace prepares to go back to school and start a new term! ❤️🎉
As a family that travels a lot and with Ella Grace and mama’s asthma, we feel it’s important as a family to be protected and that includes popo and nounou too!
I’ve attached some quick facts on influenza in English, Malay, and Chinese (swipe to read and share) but some additional notes I would add are:
* The vaccine does not completely prevent the risk of influenza as there are many strains but does significantly reduce it.
* It takes at least 2 weeks for the vaccine to be fully effective so take it as soon as possible. We usually take it in October when the new composition comes out but for some reason or another, we totally procrastinated this year.
* It’s important to take a yearly flu shot as the makers collate the 4 most popular strains of the previous year for influenza A and B.
* Pregnant mamas are also encouraged to take it as it not only protects them but their baby will also be covered for the first few months of life.
* As soon as your little or you start showing signs and symptoms of influenza (severe lethargy, high fevers, aches and pains, general malaise), start on antivirals (tamiflu) ASAP as the quicker you can get it in your system, the more effective it will be.
* For little ones, if your pharmacy is able to do so, opt for crushing the pills vs the liquid form as I find the nausea to be significantly less. Also taking anti-nausea meds 30-45mins before administering each Tamiflu dosage will keep your child more comfortable.
* Influenza A & B is brutal on both adults and little ones. They feel awful and honestly, your heart breaks a lot. I’ve attached some info on emergency warning signs as complications can make it fatal.
* DO NOT take ibuprofen (neurofen/voltaren) for fevers unless you’ve consulted an up-to-date knowledgeable pediatrician as cases have shown it to make the infection worst. As much as possible, try to treat fevers with paracetamol.
*Prevention is cure so flu shots and good hand washing practices are still the best. ❤️
****
As for how we prepared Ella Grace for her flu shots using the PLEASE tool:
PREP
Talk about the flu vaccination - what it does and why and whatever else they might want to know about it. Be honest and talk to her about what to expect. Don’t lie that it won’t hurt (our amazing Dr Rakhee also changes the needle to a much smaller one so it was significantly less painful!), we also talked about previous experiences w her pediatricians and she was also very delighted that our whole kampung was going with her to get our shots together. We had this conversation a few times leading up to it so it wasn’t a surprise and in fact she was skipping to the hospital.
Physically also make sure it’s a good day to get it done - eat, sleep, not under or overstimulated, that is half the battle sorted! If the wait is long, bring along a few activities or even better, use that time to connect and play together.
LISTEN
Ask if she has any concerns or fears or anything she’s confused about. We switched the location on her (we were meant to see Dr Rakhee in her other office in Baby Beyond Publika but did it at Ara Damansara Medical instead)
EMPATHIZE & ACKNOWLEDGE
As Ella Grace sat down at the chair, she started getting nervous that it would hurt so I held her in my lap and genuinely empathized that she was feeling scared and unsure, that she didn’t want it to hurt, that she didn’t want the jab anymore.
It’s also so important for you to remain calm and confident. Take breaths together. Even if I don’t say anything, she knows when I am scared, tense or nervous but if I am present and calm, it helps her to feel secure and calm too.
SIT
Empathize and acknowledge “You’re worried it will hurt” and then stop there. Don’t dismiss it, invalidate it, by saying “but it’s nothing, it won’t hurt, etc”. Allow and trust your child to experience her feelings so she is able to fully move through it and it will help so much in the long run esp for future dr visits because she’s processed it fully in a safe space.
Sitting with your child while they express their feelings through tears, words, tantrums, in whatever way they need to is so important. It’s holding space and boundaries for them with love.
It says in so many ways, you are safe. I got you. I see you. I love you. I am with you.
EMPOWER
Only when your little feels safe and loved can they use their thinking, logical, rational brain which helps them take ownership and find solutions. Remember also that it’s whatever makes sense to them to give them a sense of control in the things that they cannot control that is pivotal here.
For Ella Grace, it was a silly unicorn headband to help her feel brave that she then insisted would help everyone else too. 😂❤️
A sense of control was also allowing her to pick her bandaid (Frozen Anna & Elsa of course), the order of who would go first (she opted youngest to oldest) as well as “helping” Dr Rakhee and letting her watch the procedure.
You got this, mama! Let’s keep our babies and families protected! 💪
***
We went to our favorite pediatric vaccine specialist Dr Rakhee (she practices in Baby & Beyond Child Specialist Clinic Publika and Ara Damansara Medical Centre) she’s the best and most knowledgeable on vaccine schedules for travel as well as developmental but you can also go to your favorite family doctor or pediatrician etc. Just call before to make sure they have stock esp if you’re bringing your whole kampung at once too!
The side-effects vary according to individual but ours ranged across from body aches to lethargy, headaches etc for the first 48 hours which is a walk in the park compared to full blown influenza.
I also feel it’s super important to note that with influenza season coming to its peak, please remember to take all preventative steps at the clinics and hospitals when you visit as it’s a Petri dish! 😅❌😷
Hope this helps in getting the info out to your loved ones.
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general malaise 在 急診女醫師其實. Facebook 的最佳解答
所以在這種健保制度下,醫生們下次還敢盡量做嗎?
民眾會想這又不是扣我的錢,關我屁事? 可是大家以為,受害的只有醫生嗎?
感謝衛福部,教大家什麼叫做「被白嫖完還要交保護費」。
想像一下你是個餐廳主廚。
今天,老闆遇到了一團貴賓,老闆很霸氣的在門口大喊:「主廚你就放手去盡量做,不要擔心成本」
此聲吆喝喊的滿堂喝彩,你和貴賓們都覺得老闆超霸氣。
你於是全力發揮,最終,貴賓盡興而歸。
下班的時候,老闆沒有拍拍你的肩膀說幹的好,
但你不以為意。
月底領薪水的時候,老闆不但不給你當天的薪水,
還罰扣了當天薪水的「77倍」。
「77倍」!?
哈哈哈這根本太扯不可能發生在現實生活對不對哈哈哈
不對,我跟你說這是真的!!!
----------------------
大家知道,當醫生或醫院替病人做了絕大部分的治療檢查開刀…各種事情,要跟健保局申請「給付」,這是一個先做事後領錢的概念。
今年年初的時候,流感大流行。
當時,健保署曾在媒體上公開叫醫生放手盡量做,
並承諾給付會放寬處理,請民眾放心云云。
然後,真的有好心醫生這樣做了。
有資深兒科醫師在病例中已經清楚記錄病人是明顯類流感症狀的兒童
「發燒39度、咳嗽、流鼻水、噁心、頭痛、肌肉痠痛、活動力下降外觀明顯病容且昨日開始表現較嗜睡、並且呼吸音異常」
(Fever since 3/2, cough, rhinorrhea, nausea, headache, muscle pain, drowsy yesterday, general malaise, 39.c, Ill-looking, Injected throat, Coarse bs)
https://www.facebook.com/photo.php?fbid=1308046692543177&set=pcb.1308081239206389&type=3&theater
然後這位醫師幫小朋友安排了花費健保300元的流感快篩檢查,因為這個孩子怎樣看都像是流感,醫師需要評估他是否有必要用到進一步的藥物。
然後,過了一陣子,流感疫情平息之後,
這位醫生接到了健保署的核刪訊息。
除了300元健保署不付給醫院以外,還要罰醫院/醫生總共23302元。
是的,你沒看錯,新台幣兩萬三千三百零二元整的罰款。
https://www.facebook.com/photo.php?fbid=1308046535876526&set=pcb.1308081239206389&type=3&theater
因為這個醫生想幫這個孩子檢查詳細看是否能使用克流感,就被罰了這麼多錢。
幹,比22k還多哩。
我實在是很想保留一點僅存的氣質,
但是這根本他媽的是被白嫖完還要交保護費。
這個國家的衛生主管機關就是這樣在對待醫生的。
這就是獨步全球,萬惡的健保「匿名放大核刪」
這就是獨步全球,萬惡的健保「匿名放大核刪」
這就是獨步全球,萬惡的健保「匿名放大核刪」
做300元的事情,可能會被罰兩萬多塊喔(笑)
還在鼓勵孩子念醫賺大錢的家長們,看清楚,
這他媽就是在台灣當醫生。
----------------------延伸閱讀---------------
錢建文醫師原文:
https://www.facebook.com/permalink.php?story_fbid=1308081239206389&id=100000135757852
健保事後核刪制應該廢除
http://m.appledaily.com.tw/realtimen…/…/new/20150529/618633/
期待願意溝通的健保署
https://www.facebook.com/…/a.536085489830…/857429494362590/…
行政院衛生署疾病管制局致醫界通函第082號( 2013-02-22)
http://www.cdc.gov.tw/professional/info.aspx…
2013年疾病管制局行文說快篩試劑及克流感藥劑費用由民眾自費,但是這件事情政府並沒有好好跟民眾說,而讓醫生扮黑臉,要病人自費。
今年疫情爆發的時候,卻語焉不詳的叫大家放手去做,給付方面會從寬認定。一個國家的衛生主管機關這樣挖坑給做好事的醫生去跳,sick。
general malaise 在 Icu醫生陳志金 Facebook 的最佳解答
事後核刪,放大懲罰
健保的確存在這不合理的問題
感謝衛福部,教大家什麼叫做「被白嫖完還要交保護費」。
想像一下你是個餐廳主廚。
今天,老闆遇到了一團貴賓,老闆很霸氣的在門口大喊:「主廚你就放手去盡量做,不要擔心成本」
此聲吆喝喊的滿堂喝彩,你和貴賓們都覺得老闆超霸氣。
你於是全力發揮,最終,貴賓盡興而歸。
下班的時候,老闆沒有拍拍你的肩膀說幹的好,
但你不以為意。
月底領薪水的時候,老闆不但不給你當天的薪水,
還罰扣了當天薪水的「77倍」。
「77倍」!?
哈哈哈這根本太扯不可能發生在現實生活對不對哈哈哈
不對,我跟你說這是真的!!!
----------------------
大家知道,當醫生或醫院替病人做了絕大部分的治療檢查開刀…各種事情,要跟健保局申請「給付」,這是一個先做事後領錢的概念。
今年年初的時候,流感大流行。
當時,健保署曾在媒體上公開叫醫生放手盡量做,
並承諾給付會放寬處理,請民眾放心云云。
然後,真的有好心醫生這樣做了。
有資深兒科醫師在病例中已經清楚記錄病人是明顯類流感症狀的兒童
「發燒39度、咳嗽、流鼻水、噁心、頭痛、肌肉痠痛、活動力下降外觀明顯病容且昨日開始表現較嗜睡、並且呼吸音異常」
(Fever since 3/2, cough, rhinorrhea, nausea, headache, muscle pain, drowsy yesterday, general malaise, 39.c, Ill-looking, Injected throat, Coarse bs)
https://www.facebook.com/photo.php?fbid=1308046692543177&set=pcb.1308081239206389&type=3&theater
然後這位醫師幫小朋友安排了花費健保300元的流感快篩檢查,因為這個孩子怎樣看都像是流感,醫師需要評估他是否有必要用到進一步的藥物。
然後,過了一陣子,流感疫情平息之後,
這位醫生接到了健保署的核刪訊息。
除了300元健保署不付給醫院以外,還要罰醫院/醫生總共23302元。
是的,你沒看錯,新台幣兩萬三千三百零二元整的罰款。
https://www.facebook.com/photo.php?fbid=1308046535876526&set=pcb.1308081239206389&type=3&theater
因為這個醫生想幫這個孩子檢查詳細看是否能使用克流感,就被罰了這麼多錢。
幹,比22k還多哩。
我實在是很想保留一點僅存的氣質,
但是這根本他媽的是被白嫖完還要交保護費。
這個國家的衛生主管機關就是這樣在對待醫生的。
這就是獨步全球,萬惡的健保「匿名放大核刪」
這就是獨步全球,萬惡的健保「匿名放大核刪」
這就是獨步全球,萬惡的健保「匿名放大核刪」
做300元的事情,可能會被罰兩萬多塊喔(笑)
還在鼓勵孩子念醫賺大錢的家長們,看清楚,
這他媽就是在台灣當醫生。
----------------------延伸閱讀---------------
錢建文醫師原文:
https://www.facebook.com/permalink.php?story_fbid=1308081239206389&id=100000135757852
健保事後核刪制應該廢除
http://m.appledaily.com.tw/realtimen…/…/new/20150529/618633/
期待願意溝通的健保署
https://www.facebook.com/…/a.536085489830…/857429494362590/…
行政院衛生署疾病管制局致醫界通函第082號( 2013-02-22)
http://www.cdc.gov.tw/professional/info.aspx…
2013年疾病管制局行文說快篩試劑及克流感藥劑費用由民眾自費,但是這件事情政府並沒有好好跟民眾說,而讓醫生扮黑臉,要病人自費。
今年疫情爆發的時候,卻語焉不詳的叫大家放手去做,給付方面會從寬認定。一個國家的衛生主管機關這樣挖坑給做好事的醫生去跳,sick。
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