We have had an infectious January. Two weeks ago, my toddler came down with Coxsackievirus, commonly (or uncommonly!) known as Hand, Foot, and Mouth disease. Very unpleasant. I caught it after her, then my son. Last week, while my son & I were still feeling the effects (which luckily didn't hinder our enjoyment of king cake & ice cream cake too much), I took my daughters to the doctors, and the Chiclette received some immunizations. This week, my son, who was not immunized against chicken pox, who we thought had had 2 milder cases when he was younger, came down with a full-blown case. Remember those? So it's Aveeno & Calomine for him! And another 3-4 days off of school. And the 4th copay in 3 weeks! This gave me the opportunity to ask the doctor about the vaccine. He brought it up, actually.
I really like my son's PCP. I like the girls' PCP also, as she believes in parental judgment, but I never feel as comfortable around female pediatricians as I do around a certain type of male pediatrician--the "old school" variety. This is quite different from how I feel about male vs. female OBs. But it's nice to have--for once--two pediatricians I trust.
So the doctor brought up the old cliche that chicken pox used to be a "rite of passage," that there were (ill-advised) chicken pox parties, etc., before the vaccine. He asked if the toddler was vaccinated (she is) and said that she could still get it (!!) but that it would be mild if she did. The baby should still be protected by maternal antibodies. So I asked about the vaccine--since there are reports of breakthrough infections, increased instances of shingles, and need for booster shots. He said that they always knew that a booster would be needed (!!). He hasn't heard of increased cases of shingles. And then he told us a few interesting things:
The Japanese have been vaccinating against chicken pox for about 20 years to our 15.
When my son was little, it had not yet become routine to vaccinate them at 1 yr., and that was only 10 years ago. By the time he was school age, the chicken pox vaccine was mandatory, but we skirted the issue.
Our current pediatrician did not recommend the vaccine when it was new for a few years, until the sample size was larger than the original test subjects.
He had a friend whose son (now 23 and an animator for Cartoon Network) had chicken pox induced meningitis. He was on the phone with the father when the boy had a seizure. It was at that point that he began to take chicken pox seriously as a disease.
The real reason that they vaccinate against chicken pox is not the disease but the secondary infections. The secondary staph infections landed 8,000 in the hospital on average, and would result in 40-50 deaths a year (which he whispered to avoid causing anxiety in the 11-year-old). With antibiotic resistant strains of staph, this is a valid concern to my mind.
I value such frankness in a doctor. It gives me much more to work with hearing these things from an informed person whom I trust.
Interestingly, the local news was reporting increased cases of chicken pox in spite of the vaccines only days before he came down with it. Picking up my son's homework today, my husband told one of the teachers that he had chicken pox. She said that a number of people do. It's "going around." Hmmm. . . I though that wasn't supposed to happen now!!
Showing posts with label medical intervention. Show all posts
Showing posts with label medical intervention. Show all posts
Friday, January 25, 2008
Tuesday, January 15, 2008
HIB, Hep B, and Chicken Pox, Oh My!!
The Chiclette goes in for her 2 month check-up on Thursday, the one on which they bombard this little developing immune system with all kinds of nasties--all for her good, of course. Now, I have mentioned before that I exercise caution with the recommendations of doctors. I have a skepticism about--well, everything, but about medicine in particular. I am not against all vaccines, however. I am merely cautious. The vaccines I received as a child are familiar territory, though they are questioned by many, and even linked to onset of autism in some children. Measels, Mumps, Rubella, Diptheria, Pertussus, and of course, Polio, are vaccines I tend to consider "safe," though I know many would question this. At any rate, I know that the vaccines have been around for a long, long time, and have been studied, and judged to be as safe as 50+ years of research can make them. My son, to be 11 on Friday, received all of the recommended vaccines. Until the chicken pox vaccine. I had heard the cautions about vaccines even then, but thought that the benefit was worth the slight risk. Until the chicken pox vaccine.
You see, in my mind, vaccines were reserved for childhood illnesses that killed children--polio, whooping cough--and posed a genuine public health risk. But chicken pox was only a mild nuisance for most children, keeping them out of school for a week or two, which wasn't really an issue, I guess, unless there was no one available to care for them at home. So my son did not receive the chicken pox vaccine. He got two very mild cases of chicken pox from exposure to children at school who had been vaccinated recently and were "shedding" the virus. That strengthened my opinion that the vaccine was not really advisable.
When I was in the hospital after having my Doodle, I read in the papers about the vaccine against Human Papillomavirus and was instantly against the idea of vaccinating pre-teen girls for an STD. It seemed hasty, unnecessary, inadvisable. Not to mention discriminatory--to subject the girls to a vaccine, the safety of which is not entirely known, when presumably they were getting the virus from boys. Besides the fact that this was hardly an air-borne illness. Let's face it, STDs are highly preventable. So my attitude towards vaccinating my daughters with Gardasil? Over my dead body, thanks.
I relaxed my vigilance some when it came time to vaccinate my Doodle. I don't know why, but I shrugged and did a "What the heck" when it came to the chicken pox, possibly because it was easiest at the time, or perhaps because my son had felt the adverse affects of not being vaccinated in a culture where vaccination was the norm--and was infected as a consequence of this being the norm. So I figured I would skip a step or two and make it easier when she had to go to school (eventually). Of course, I did not realize that Texas allows parents to opt out of any vaccine. Evidently all one has to do is file the paperwork. So Doodle has had all of the "mandatory" vaccines, but has not had the ones that are only required if she happens to attend daycare. Since her last round, I have read more about adverse affects of Gardasil (HPV) and the vaccination for chicken pox, and it makes me wonder about all of this all over again. Not to mention that link Jen posted about the use of aborted fetal tissue to make vaccines. Great. So here I am, wondering what to do. . . again.
Because this is no easy matter. Any time we refuse medical treatment or tests, we are going against the grain. It feels like gambling, and health is nothing to gamble with. I have less of a problem when it's just me--but when it's my children and I take a risk, it feels, well, wrong. Culturally we are told that doctors are superior to just about everyone, and should not really be questioned. This changes from place to place. I have to say that people in New Orleans that I knew seemed to question medical practitioners more--even before something went wrong--than they do in this corner of Texas. I'm sure there's another corner of Texas I could name where the questioning is more intense still--at least in some circles. But that's decidedly countercultural. And so if I follow my instincts and refuse one or more of the vaccines, I feel like a bad parent. For what? For doing what I feel is right, and for gambling on the chance that my child will not contract whatever they are vaccinating against. The last time I faced a decision like this, I was deciding whether to treat my child for an enzyme deficiency that I knew she didn't have while they retested her after botching the first screening so that she and 3 other babies came out positive. She was about 3 weeks old. I won that bet, but it was agonizing.
This week, she faces several vaccines, and I am not particularly comfortable with all of the vaccines, the fact that they are given simultaneously, the fact that they will be administered even if the baby has a cold, or the fact that parental consent is generally assumed, and that these vaccines are deemed "mandatory" for my children by state boards. At two months they receive: Prevnar, DTaP, HIB, Polio, and Chicken Pox. Possibly Rotavirus also. She has not had any vaccines at this point. I refused the one in the hospital--Hep B--because, well, I don't see it as necessary, as it is transmitted sexually or through a transfusion. I can't say I know much about Prevnar or HIB. I believe both of my earlier ones had them. I feel like a cop out admitting that I haven't done the research. DTaP is familiar territory, as is the Polio. Chicken pox--well, you know how I feel about that one. And I don't feel comfortable with the Rotavirus vaccine. It sounds like a daycare vaccine to me. You know, so the workers don't get sued for not washing their hands. I just can't see that it's more crucial now than it was 2 years ago. The main goal seems to be to prevent trips to the hospital and the doctor's office. So it's an insurance company vaccine, too--it saves them money.
And you know what socialized medicine means to me? More of this shoved down our throats, with less recourse if side-effects occur, and less choice in the matter!
You see, in my mind, vaccines were reserved for childhood illnesses that killed children--polio, whooping cough--and posed a genuine public health risk. But chicken pox was only a mild nuisance for most children, keeping them out of school for a week or two, which wasn't really an issue, I guess, unless there was no one available to care for them at home. So my son did not receive the chicken pox vaccine. He got two very mild cases of chicken pox from exposure to children at school who had been vaccinated recently and were "shedding" the virus. That strengthened my opinion that the vaccine was not really advisable.
When I was in the hospital after having my Doodle, I read in the papers about the vaccine against Human Papillomavirus and was instantly against the idea of vaccinating pre-teen girls for an STD. It seemed hasty, unnecessary, inadvisable. Not to mention discriminatory--to subject the girls to a vaccine, the safety of which is not entirely known, when presumably they were getting the virus from boys. Besides the fact that this was hardly an air-borne illness. Let's face it, STDs are highly preventable. So my attitude towards vaccinating my daughters with Gardasil? Over my dead body, thanks.
I relaxed my vigilance some when it came time to vaccinate my Doodle. I don't know why, but I shrugged and did a "What the heck" when it came to the chicken pox, possibly because it was easiest at the time, or perhaps because my son had felt the adverse affects of not being vaccinated in a culture where vaccination was the norm--and was infected as a consequence of this being the norm. So I figured I would skip a step or two and make it easier when she had to go to school (eventually). Of course, I did not realize that Texas allows parents to opt out of any vaccine. Evidently all one has to do is file the paperwork. So Doodle has had all of the "mandatory" vaccines, but has not had the ones that are only required if she happens to attend daycare. Since her last round, I have read more about adverse affects of Gardasil (HPV) and the vaccination for chicken pox, and it makes me wonder about all of this all over again. Not to mention that link Jen posted about the use of aborted fetal tissue to make vaccines. Great. So here I am, wondering what to do. . . again.
Because this is no easy matter. Any time we refuse medical treatment or tests, we are going against the grain. It feels like gambling, and health is nothing to gamble with. I have less of a problem when it's just me--but when it's my children and I take a risk, it feels, well, wrong. Culturally we are told that doctors are superior to just about everyone, and should not really be questioned. This changes from place to place. I have to say that people in New Orleans that I knew seemed to question medical practitioners more--even before something went wrong--than they do in this corner of Texas. I'm sure there's another corner of Texas I could name where the questioning is more intense still--at least in some circles. But that's decidedly countercultural. And so if I follow my instincts and refuse one or more of the vaccines, I feel like a bad parent. For what? For doing what I feel is right, and for gambling on the chance that my child will not contract whatever they are vaccinating against. The last time I faced a decision like this, I was deciding whether to treat my child for an enzyme deficiency that I knew she didn't have while they retested her after botching the first screening so that she and 3 other babies came out positive. She was about 3 weeks old. I won that bet, but it was agonizing.
This week, she faces several vaccines, and I am not particularly comfortable with all of the vaccines, the fact that they are given simultaneously, the fact that they will be administered even if the baby has a cold, or the fact that parental consent is generally assumed, and that these vaccines are deemed "mandatory" for my children by state boards. At two months they receive: Prevnar, DTaP, HIB, Polio, and Chicken Pox. Possibly Rotavirus also. She has not had any vaccines at this point. I refused the one in the hospital--Hep B--because, well, I don't see it as necessary, as it is transmitted sexually or through a transfusion. I can't say I know much about Prevnar or HIB. I believe both of my earlier ones had them. I feel like a cop out admitting that I haven't done the research. DTaP is familiar territory, as is the Polio. Chicken pox--well, you know how I feel about that one. And I don't feel comfortable with the Rotavirus vaccine. It sounds like a daycare vaccine to me. You know, so the workers don't get sued for not washing their hands. I just can't see that it's more crucial now than it was 2 years ago. The main goal seems to be to prevent trips to the hospital and the doctor's office. So it's an insurance company vaccine, too--it saves them money.
And you know what socialized medicine means to me? More of this shoved down our throats, with less recourse if side-effects occur, and less choice in the matter!
Thursday, August 16, 2007
Finding Inner Strength. . . If you can call it that!
I've been struggling for some time now (since I discovered that I was pregnant, truthfully) with the prospect of labor. Having had the same scenario play out with both pregnancies so far--membranes rupture or leak, admitted to hospital, no contractions, can't stimulate contractions, pitocin administered, pain unbearable, epidural, wait the requisite amount of time, baby!--I fear the same scenario will occur again, but I also fear the possibility that the same scenario will NOT play out again, and that I simply won't be able to cope with labor. From the beginning I had moments of panic--they went away, but are resurfacing--and I feel that I am just not up to this challenge. Now, I am a very determined person. For me to so completely lack personal resolve--or to waver the way I have been--and to have the urge simply to cave in without a fight is totally uncharacteristic and deeply disturbing. And the reason I say "cave in without a fight" is because truly, I do believe that natural childbirth is my preferred option. But my mind keeps telling me, "I just can't. . ." With the other two pregnancies, I always felt that I could muster up the strength when I needed to. This time, I guess I still think that deep inside, but since I know I don't really have to--that is, that medical intervention is waiting for me to wimp out--I just focus on the fear and the memories of the last time and conclude that I'm not up to the challenge. Sad.
So I am enrolled in "Active Childbirth" classes--or something--currently, which is the closest to real Lamaze that is offered in this area. Actually, it rather skips the patterned breathing of Lamaze, instead focusing on deep breathing and focused relaxation, very much like yoga, so I'm pretty much in tune with it there. My problem is that watching births and hearing about certain stages of labor--Transition in particular--fills me with such deep anxiety that I REALLY NEED the focused relaxation by the end of the class. I take this as a really bad sign. When we discussed Transition on Monday night, I really had a hard time because Transition is the stage of "natural" labor that most resembles (emotionally and physically) the experience of intense, no-epidural pitocin-contractions, at least in my experience. Especially the feeling of not being able to cope. Yes, pitocin is perpetual Transition. I just had to write that because of the oxymoron.
Last night I asked my husband if it seemed defeatist just to resolve to go as long as I can naturally. He didn't think so. That resolve alone lifted a burden, although I have never said definitively that I would refuse the epidural at all costs, not even with previous pregnancies.
But today, I think I may have discovered a source of determination. I think it was there on the first night of classes, but it went away. And that source of determination is from the depths of my ornery being: I find strength in resolving to fight others. This is not something I'm particularly proud of, but hey, if it works. . . So in thinking about writing the birth plan and fighting for my rights with the hospital staff, I find a kind of inner strength. Not a peaceful inner strength, but it's something to build on, I guess!
So I am enrolled in "Active Childbirth" classes--or something--currently, which is the closest to real Lamaze that is offered in this area. Actually, it rather skips the patterned breathing of Lamaze, instead focusing on deep breathing and focused relaxation, very much like yoga, so I'm pretty much in tune with it there. My problem is that watching births and hearing about certain stages of labor--Transition in particular--fills me with such deep anxiety that I REALLY NEED the focused relaxation by the end of the class. I take this as a really bad sign. When we discussed Transition on Monday night, I really had a hard time because Transition is the stage of "natural" labor that most resembles (emotionally and physically) the experience of intense, no-epidural pitocin-contractions, at least in my experience. Especially the feeling of not being able to cope. Yes, pitocin is perpetual Transition. I just had to write that because of the oxymoron.
Last night I asked my husband if it seemed defeatist just to resolve to go as long as I can naturally. He didn't think so. That resolve alone lifted a burden, although I have never said definitively that I would refuse the epidural at all costs, not even with previous pregnancies.
But today, I think I may have discovered a source of determination. I think it was there on the first night of classes, but it went away. And that source of determination is from the depths of my ornery being: I find strength in resolving to fight others. This is not something I'm particularly proud of, but hey, if it works. . . So in thinking about writing the birth plan and fighting for my rights with the hospital staff, I find a kind of inner strength. Not a peaceful inner strength, but it's something to build on, I guess!
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