Symptom Checkers – Are They Helpful?

11 04 2011

Dawn, our handy dandy Outreach Coordinator, was sick the other day with an assortment of symptoms, including headache, body aches, mild fever, sinus pressure and fatigue. Rather than calling the doctor, she turned to the WebMD symptom checker app on her iPhone to see what was up.

After answering a string of questions, including was her fever “made worse by intravenous drug use” or were her body aches “made worse by swimming in infested waters,” she arrived at a list of possible diagnoses. They ranged from common ailments such as flu, acute sinusitis and sunburn, to the more serious lupus, cryptococcosis and dengue fever.

She wasn’t impressed. “It didn’t help at all,” she said. “I was more dismissive of the usefulness of the tool. It gave me conditions that weren’t even possible, like sunburn, alongside ones that were much more likely like sinusitis.” 

We wanted to know what others had experienced when using symptom checkers, so we did an unscientific study and asked a few people.

One physician, preferring to remain anonymous, said:

I happen to like healthychildren.org symptom checker because most of the time the algorithms are correct and it can take pressure off our phone nurses.

Pam Ladds, a nurse and Facebook fan, said:

When used intelligently, they can be really helpful. Unfortunately, modern medical practices tend not to look at the whole person – merely a part or an orifice. I’ve seen several people who finally got a diagnosis and appropriate treatment by searching symptom sites. Of course, the symptom junkies can misuse these sites and drive themselves to insanity. But they can do that anyway! Balance, repeat after me, balance :)

Lynn, from the National Meningitis Association, also replied to the question we posed on Facebook:

I agree that all symptom checkers seem to include a cancer diagnosis.  Being a very nervous person myself, I have to force myself to not look up my symptoms, because I always feel worse afterwards.  I know that’s not the intent of the websites (and I’m only talking about the reputable ones – Mayo, etc.), but they have to cover every possibility.

So, I am not sure about using symptom checkers.  With meningitis, we list the obvious ones – headache, high fever, nausea, vomiting, etc.  But, if I look up one of the many GI symptoms I have, it can range from stress-induced to cancer, so my mind jumps to the worst conclusion. 

What do you think? Do symptom checker sites do more harm than good? Do they help parents put symptoms in perspective? Do we love them or loathe them?





Canker Sores

3 01 2011

Dr. Mary Beth, PKIDs’ advice nurse, explains the difference between canker sores and oral herpes, and what you can do to relieve the pain.

Listen now!


Right-click here to download podcast (5min/2.5mb)





Don’t Wait – Vaccinate!

20 12 2010

(courtesy of CDC)

This year, the Centers for Disease Control and Prevention (CDC) is recommending flu vaccination for everyone 6 months of age and older. Even healthy adults 19 through 24 years of age should get vaccinated.

Life can get pretty hectic sometimes. Whether it’s school, work, or your social life, you probably think you have other, more important things to do than get vaccinated against the flu. Last season, the flu attacked adults 19-24 years of age much more than usual, which resulted in missed classes, missed work, and far worse–trips to the ER, hospitalization, or even death.

Fortunately, there’s a quick and easy way for you to protect yourself, and to keep from spreading the flu to friends and family. Get a flu vaccine. One shot or nasal spray will help protect you against the three strains of virus predicted to cause illness this season—including the 2009 H1N1 strain, which is still circulating.

If you think you don’t have time to get vaccinated, think again! It’s easier than ever to get a flu vaccine.  And if you ’re healthy, you can get the nasal spray if you’re afraid of needles! You usually don’t even need a doctor’s appointment. Most pharmacies, drugstores, and supermarkets offer walk-in clinics that are usually very quick and have convenient hours.  In addition, most university clinics offer free or reduced-price flu vaccination for students. But the longer you wait, the longer the lines are likely to be. Flu vaccine is now available in various locations. So don’t wait–vaccinate.

The few minutes it will take you to get a flu vaccine is much shorter than the days you might have to take off from school, work, or both if you get sick with the flu. It takes about two weeks to build immunity against flu, so it’s important to act now in order to be fully protected by the time flu outbreaks begin. By immunizing yourself against flu you’ll help protect your family, friends, classmates, and co-workers, too.

For more information, visit http://www.flu.gov/, http://www.cdc.gov/flu or call 1‐800‐CDC‐INFO (800‐232‐4636).





Pregnant? Protect Baby and You Get a Flu Shot

16 12 2010

(courtesy of CDC)

Your mood can change on a dime. Your feet are swollen, you have heartburn, you can’t sleep, and you can’t stay away from the bathroom for longer than fifteen minutes. A lot of discomforts come with the joy of pregnancy. Adding flu to that could be overwhelming, or much worse. Pregnant women who get the flu are at risk to have serious illness that could harm them or their unborn child. But one step can protect against flu: a flu vaccine.

The risk from flu is greater for pregnant women because pregnancy can reduce the ability of lungs and the immune system to work normally. This can be bad for both you and your baby.

Although pregnant women are about 1% of the U.S. population, they made up 5% of U.S. deaths from 2009 H1N1 (swine flu) reported to the Centers for Disease Control (CDC) from April 14 – August 21, 2009. According to a study done during the first month of the outbreak, the rate of hospitalizations for 2009 H1N1 was four times higher in pregnant women than other groups.

While CDC is recommending that everyone get vaccinated against the flu this season, the agency has a special message for pregnant women: “Please don’t pass up this chance to protect yourself and your baby against the flu,” says Dr. Anne Schuchat, Assistant Surgeon General of the U.S. Public Health Service and CDC’s Director of the National Center for Immunization and Respiratory Diseases.

“Getting a flu vaccine during pregnancy can reduce the risk of getting the flu while pregnant and after,” says Dr. Schuchat. “And babies younger than six months can get very sick from flu, but are too young to get vaccinated. The best way to protect them is to have their caregivers and close contacts vaccinated.”

“Pregnant women should get flu shots, not the nasal spray vaccine,” says Dr. Schuchat. “The flu shot is given in a single dose, and is safe, effective, and cannot cause the flu.” Schuchat adds that the vaccine can be safely given in all nine months of pregnancy, and is also safe for breastfeeding mothers. Breastfeeding mothers can get either the nasal spray vaccine or flu shot.

Seasonal flu shots have been given safely to millions of pregnant women over many years. As in previous years, vaccine companies are making plenty of preservative-free flu vaccine as an option for pregnant women and small children. The flu shot (not the nasal spray) is safe for pregnant women during any trimester. Nursing mothers can receive a flu shot or the nasal spray. One shot will last all flu season, even if you get it early in the season.

Usually worse than the common cold, the flu can cause fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and weakness. Some people also have diarrhea and vomiting. If you think you may have the flu, it’s important to call your doctor or nurse right away.

For more information, talk to your doctor or contact CDC at 1-800-CDC-INFO or www.cdc.gov.





Got Flu?

13 12 2010

Dr. Mary Beth, PKIDs’ advice nurse, helps you get through nasty influenza.

Listen now!


Right-click here to download podcast (6mins/2.5mb)





Got a Cold?

29 11 2010

Dr. Mary Beth, PKIDs’ advice nurse, offers tips on relieving some of those cold symptoms!

Listen now!


Right-click here to download podcast (5.5 min/4mb)





Got a Cold? Smell a Skunk!

18 10 2010

There’s no cure for the common cold, so the best we can do is find a way to feel better until the virus is gone.

Do you have home remedies that soothe the sick and unstuff the stuffy?  Send them in and we’ll post them! 

In the meantime, there are the tricks we all know, like getting lots of rest and putting an extra pillow beneath our head if we’re congested, drinking fluids, and gargling with honey and lemon or warm salt water.

And, there’s every mom’s favorite—chicken soupDr. Stephen Rennard  of the University of Nebraska Medical Center took the in-laws’ chicken soup recipe into his lab and found it actually slowed cold symptoms!

After the tried-and-true tricks, there’s the tried-and-blech, which we may not be so quick to attempt.

A couple of gems gathered by Nurse Peggy Fisher from Glasgow, West Virginia are: 

  • Tie a big red onion to the bedpost and it keeps the ones in the bed from having colds.
  • A dirty sock worn around your neck when you go to bed will cure a sore throat. (Peggy says: My grandmother had a dog that had tonsillitis, and she did the above and the dog got well.)

UCLA’s Online Archive of American Folk Medicine is a repository of their years of research spent gathering and recording  folk lore and medicine, providing us with more than 1,000 recipes to ease, prevent or “cure” the common cold, such as:

  • For colds, put mutton suet or tallow on the bottom of the feet, place the feet toward the fire and bake.
  • For colds and other respiratory troubles, use spirits of turpentine; or rub tallow on chest or plaster it on chest.
  • A flannel cloth moistened or soaked in melted beeswax, a small amount of lard, and two or three drops of turpentine will relieve the soreness in a child’s throat and chest caused by coughing.
  • A favorite “bitters” of the Botanics was bruised lobelia and red pepper pods covered with good whiskey, good for cholera infantum, “yaller janders,” phthisic, croup, whooping cough, colds, coughs, and catarrh.
  • Breathing the odor of skunk is effective against colds.
  • Sip turpentine and sugar for colds.
  • In Sussex, the most petted cat is turned at once out of doors if she sneezes, for should she stay and sneeze three times in the house everybody within its walls will have colds and coughs.
  • For colds: boil and inhale vinegar, burn sulphur in the house, ginger tea, peppermint tea, mustard plasters, turpentine on a sugar lump.

So there you have it. Keep this handy in case you get sick and, need we say? Check with your provider before trying any medicine, folk or otherwise, for your cold!





Pertussis – A Family Story

8 05 2008

A mom shares the story of her family’s fight against pertussis.

Listen now!


Right-click here to download podcast (10MB,19min)





MRSA

25 02 2008

MRSA is in the news these days and it can be scary.  MRSA (Methicillin-resistant Staphylococcus aureus) is a bacterium that causes infections in and on the body.

It’s considered the super bug of staph (Staphylococcus aureus) infections because this strain is resistant to some of our antibiotics.  This resistance makes it harder to treat.

A MRSA infection on the skin may cause boils or pimples or it may cause an infection that runs so deep it has to be drained.  Treatment for such an infection may or may not include antibiotics. 

MRSA may also infect wounds or get into the lungs, the bloodstream or the urinary tract.

About 25 percent of us walk around with staph bacteria on our bodies or maybe up our noses, but we don’t become infected.  Of the 25 percent, about one percent carries MRSA. 

Should the staph get into the body through, say, a cut, we could get an infection.  Usually these infections aren’t serious, although it’s possible for them to become dangerous.  They may even cause pneumonia.

The good news is, staph is usually treated with antibiotics.  The bad news is, there are strains of staph, like MRSA, that have developed resistance to some of our antibiotics.  This super bug keeps changing and adapting, making it necessary for us to develop new antibiotics in a hurry.

To the disgrace of everyone involved, MRSA infections are exploding in healthcare settings, with MRSA now causing up to 40 to 50 percent of the staph infections in U.S. hospitals.

MRSA has also expanded from hospitals and other healthcare settings out into the community, where it is referred to as Community-Associated MRSA (CA-MRSA).

CDC tells us that in 2003, 12 percent of MRSA infections were acquired in the community.

Prevention is key to remaining MRSA-free and CDC recommends the following:

  • Wash your hands thoroughly for at least 15 seconds. Use soap and water or an alcohol-base hand sanitizer.
  • Cover your cuts and scrapes with a clean bandage to prevent bacteria from entering the wound.  If you have to touch another person’s wounds or bandages, put a barrier between your hands and the soiled materials or open skin.
  • Don’t share personal care items like nail clippers or scissors, razors, towels and so on. 
  • Wipe down shared gym equipment before and after use.
  • Using the dryer rather than line drying helps kill bacteria.

MRSA is identified with lab tests.  Should your provider determine you have a MRSA infection, there are plenty of antibiotics that do work, although you may not even need to be on antibiotics.








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