Welcome to the official Hello Wellness Blogspot! We are glad that you are here! We will be providing information about the clinic, our services, and our hours of operation. We will also periodically be discussing medical topics and hope to cover a different topic every month. We hope that you will find this site informative and useful. This site is meant to provide basic medical information and knowledge and should not serve as a substitution for situations involving urgent or emergent illness. Obviously, if you have any questions whatsoever you are encouraged to call our clinic at 479-249-6362, between 7am-5pm. Also, email us at well@helloprimarycare.com.

Thursday, September 13, 2012

Flu Vaccination

Influenza is an acute respiratory illness caused by Influenza A or B viruses, which occurs in outbreaks and epidemics worldwide nearly every year, mainly in the winter season.  The Influenza virus is remarkable for its high rate of mutating its genes, thereby changing its biochemical characteristics.  Another way of putting this is that the Flu virus changes it's "look" pretty much every year.  This makes it very hard for our immune systems to fight and the reason that the Flu causes so many problems.  As a consequence, new vaccines are produced each year to try and match the best vaccine to produce resistance to the upcoming year's infecting virus.

Antigens can be thought of as pieces of the virus or pieces that are similar to the virus for which our immune system recognizes as "foreign."  Antigens are what stimulate our immune system into action.  Our immune system "remembers" antigens and on the second go-around is better armed to defend.   This means either not getting sick or not getting as sick.  This is the basic principle of vaccinations.

The decision of which influenza antigens to include in a vaccine is made in advance of the Flu season.  It is based upon global surveillance of influenza viruses and the emergence and spread of new strains.  The U.S. Centers for Disease Control and Prevention in collaboration with the World Health Organization track this and ultimately predict what goes into that year's vaccine.

There are two different vaccines licensed for use in the U.S.  One is the tr-ivalent inactivated influenza vaccine and the second is the tri-valent live-attenuated vaccine that is given intranasally.

The first is the one we typically think of when we hear the term "vaccine."  It is an intramuscular shot.  The vaccine is inactivated in terms of its components.  Specifically, it contains inactivated influenza virus or smaller pieces called subvirion components.  These "pieces," or antigens, stimulate our immune system to produce immune proteins called antibodies that lead to destruction of the real virus when the patient is later exposed to it.  Also, new for this year is an intradermal form of this vaccine that is given under the skin like diabetics give their insulin.

The second is a live influenza virus, but attenuated.  This is actually a live influenza virus that has been stripped of it's ability to cause real disease.  It will still stimulate your body's immune system to "remember" the real virus if it comes along in the same exact way as the inactivated vaccine.  This vaccine is given as a mist inhaled through the nose.

Among healthy adult patients the inactivated vaccine produces a substantially reduced probability of Flu A or Flu B infection, a reduction in cumulative days of respiratory illness, and a reduction in work absentees.  Among patients that received the live attenuated vaccine there were significant reductions in severe febrile illnesses, febrile upper respiratory tract illnesses, and days of work lost.

In our elderly patients the data was a little less convincing looking back at past studies involving residents of long term facilities and those patients living out in the community.  However, a recent study in 2012 evaluating patients out in the community revealed that the vaccination was associated with a reduction in the hospitalization for pneumonia, influenza, and death during the influenza season.

In children vaccination against the flu produced a significant reduction in the amount of confirmed influenza illness, upper respiratory tract illnesses, and school days missed.

Who Should Receive It
In 2010 the CDC's  Advisory Committee on Immunization Practices and the American Academy of Pediatrics expanded the recommendation for influenza vaccination to include every individual older than 6 months.   
Although vaccination is recommended for all patients, special efforts should be made to immunize those more at risk of developing complications from the Flu: 
--These include children 6 months through 4 years of age.
--Patients that are 50 years old and older.
--Children with chronic pulmonary conditions, such as asthma, any ongoing long-term cardiovascular, kidney, hematologic or metabolic disorder. 
--Also, patients that are immunosuppressed, residents of chronic care facilities, native Americans and morbidly obese. 
--Women who are or will be pregnant during the influenza season.  Household contact and out-of-home caregivers and adolescents who are at high risk for severe or complicated influenza.
--Children who may transmit influenza to a high-risk household member.
--Adult patients with Diabetes, Kidney dysfunction, Chronic Liver disease, Chronic Pulmonary disease, Spinal Cord injury, Neurodevelopmental disorders(Cerebral Palsy, Muscular Dystrophy), Intellectual and Developmental delay.
--Patients with HIV.
--Patients that are on medications that can cause immunosuppression.

Which Vaccine
There are many questions about who should  receive which vaccine.  Basically, the inactivated vaccine can be given to everyone with a higher dose form sometimes given to our patients 65 years and older.  Starting with infants 6 months or older the inactivated form can safely be given every year for however long the patient wishes to be immunized.  The only thing that changes is the amount of the vaccine injected.  There are very few situations when this vaccine absolutely should not be given.  The first is any type of significant reaction to a previous Flu vaccine, such as shock requiring resuscitation, being place on a ventilator, or admitted to the hospital for these sxs.  Another is the development of a disease called Guillain Barre Syndrome within six weeks of a previous flu vaccination.  Patients with egg allergies can receive this vaccine.  This was once a contraindication, but has been relaxed somewhat.  It is now recommended by the American Academy of Pediatrics the CDC,  and the Advisory Committe on Immunization Practices that the inactivated vaccine can be given only with a period of observation and the presence of resources and medications to perform emergent resuscitation if shock occurs.  Be sure and let your doctor know if you have allergies to eggs before being given any vaccinations, in fact, any medications whatsoever.

There are many more limitations on the live attenuated vaccine (Flumist).  Again, this is the vaccine that is given inhaled through the nose.  The USDA has licensed this vaccine for use in healthy individuals age 2 y/o and older to 50y/o old.
 Furthermore, the Intranasal vaccine should NOT be given to:
--Children with asthma and children 2-4y/o with a history of recurrent wheezing conditions.
--Children with medical conditions that increase risk for severe or complicated influenza infection
--Children who are contacts of severely immunocompromised patients.
--Immunocompromised patients, including HIV and Chronic Hepatitis.
--Patients with certain chronic conditions, such as; Emphysema, Asthma, Congestive Heart Failure, Coronary Artery Disease, Diabetes, Kidney Disease, Hypertension.  There are others, but these are the more familiar ones.  Patients need to inform their physician of any ongoing illness before receiving any vaccine.
--Patients with a history of an illness called Guillain-Barre Syndrome
--Patients with a history of egg allergy
--Long-term aspirin or salicylate therapy
--Receipt of another live virus vaccine within the previous 4 weeks
--Residents of  chronic care facilities

Thimerosal is a mercury-containing antibacterial compound used as a preservative in multi-use vials of flu vaccines.  It is not present in all the vaccines.  Although mercury can be toxic to the human body, the small amount found in some of the inactivated vaccines poses no risk.  The risk is both theoretical and unproven.  Thimerosal was implicated as a contributing factor in autism and the idea seemed to gain some momentum in the press and some circles.  There was never any scientific proof of this nor any relationship between mercury and autism.

Infection and Withholding
Immunization with both the inactivated and live vaccines should be withheld with moderate to severe acute illness with fever until symptoms have resolved.  However, minor illnesses with or without fever should not prevent vaccination.  The live vaccine can be administered with minor acute illnesses with or without fever.  Since this vaccination is given intranasally sometimes the Flumist vaccine is withheld if patients have  a upper respiratory track infection resulting in significant nasal congestion.  You and your doctor can decide.

Which is Better?
In children the live attenuated vaccine has been shown to provide better immunity than the inactivated form.  It was shown to provide immediate protection during an outbreak and may provide better long-term protection.  In adults it seems that most of the studies show somewhat the opposite.  Studies in adults specifically show that the inactivated vaccine protects about the same or better than the live attenuated vaccine.  Also, some patients have a phobia to shots.

Schedule/Frequency and When?
Annual vaccination is recommended.  It should be administered as early as possible during the fall of each year.  Ideally as early as October and throughout the fall and early winter until December in the U.S.  There are certain situations when two doses should be given.  This usually applies to patients first receiving the vaccine and then those patients that have not had two doses of the vaccine after 2010.  You and your doctor can help determine how many doses you may need.

Side Effects
The most common side effect with the inactivated vaccine is arm soreness at the site of injection.  Low grade fever is common and it is also common for  patients to have mild fatigue and general muscle soreness for 24-48 hours.  The Flumist also causes fever, in addition the intranasal live vaccine has a higher incidence of nasal congestion and a higher incidence and intensity of influenza-like symptoms.  These symptoms can occur up to 72 hours after administration.

Our Recommendations
>>Get vaccinated, there is overwhelming evidence that you can keep yourself well, miss fewer workdays and decrease the risk of infecting household member and loved ones.
>>Always, always, before being given any medication or vaccination tell your doctor or whoever is giving the vaccine all of your allergies to food, drinks, drugs, or any other substance that has caused a "reaction" in the past.
>>Talk to your doctor about which vaccine is better for you, the Inactivated or the Live Flumist.
>>Talk to your doctor about any household members or loved ones that you live with that have any chronic disease or illnesses requiring treatment or medicines on a daily basis.
>>Of course, considering some of these important things mentioned above we will always recommend getting your Flu vaccination at a Doctor's Office to discuss some of these important issues.
>>With all this in mind, we have both versions of the flu vaccine at Hello Wellness, call now it will take no time: 279-249-6362.  Stay tuned for more information, thank you.


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    Hello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
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  3. My name is donald boykins , am here to appreciate Dr Akhigbe for using his herbal medicine to cure my Herpes virus. Is about 3 years and  6 months now I have been living with this virus and it has been a serious problem to me, I was so confused cause i have been taking several drugs to be cured but all of my effort was in vain,one morning I was browsing through the internet then I saw several testimonies about Dr. Akhigbe curing people from Herpes virus and immediately i contacted Dr. Akhigbe on his email: drrealakhigbe@gmail.com, i told him about my troubles and he told me that i must be cured, he gave me some instructions and which i rightly followed. so he prepared a herbal medicine  and sent it to me which i used for 2 weeks and i was cured everything was like a dream to me and my Herpes virus was totally gone, dr .Akhigbe, God bless you and give you more power and ability for more cure.I don't know if there is any one out there suffering for herpes virus or any of these diseases..DIABETES, CANCER, HIV/AIDS, HERPES  HEPATITiS A AND B , HEART DISEASE, CHRONIC DISEASE,EPILEPSY, LUPUS, STROKE,PARKINSON'S DISEASE, SPINAL CORD INJURY, ECZEMA, KIDNEY DISEASE, ACME, BACK PAIN ,EXTERNAL INFECTION, CORONARY ARTERY DISEASE, COMMON COLD, JOINT PAIN, POLIO, INFLUENZA etc.   why don't you contact dr.Akhigbe today and be free from your diseases because he is very good and honest Doctor and he is also called the godfather of herbal root contact him via email; drrealakhigbe@gmail.com or whatsApp him on +2348142454860  website  https:drrealakhigbe.weebly.com

  4. There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome life style Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and overall well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2010. Was at work feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescriptions like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but bring back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     drrealakhigbe@gmail.com   or his Number   +2348142454860   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING  LOSSDr Akhigbe is a good man and he heal anybody that comes to him. here is email    drrealakhigbe@gmail.com    and his Number +2349010754824

  5. Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098    Website/ www.drimolaherbalmademedicine.wordpress.com


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