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Pat 110 10-27-2009 05:01 PM

Flu shots
 
Who is getting the flu shot and the N1H1 when it becomes available? I still have some concerns.

I would appreciate any comments or concerns you may have. Thanks.

Pat

Brennan068 10-27-2009 05:05 PM

Quote:

Originally Posted by Pat 110 (Post 583249)
Who is getting the flu shot and the N1H1 when it becomes available?

Got pneumonia and flu shots, getting H1N1 asap.

Maxwell'sMom 10-27-2009 05:05 PM

My neuro is one who firmly believes that MG patients should Not get the flu shot, and after my experience from getting one, I'm terrified of what it will do to me.
Just too frightened.
Becareful if you do. Some MG'ers have no problem with them, and then there are those of us who are basically trouble makers, and cause all kinds of problems for our docs...;)
Love Lizzie

Pat 110 10-27-2009 05:07 PM

Thanks Brian. Have you always gotten the regular flu shot without any problems?

Pat 110 10-27-2009 05:10 PM

Thanks Lizzie. I too had a terrible reaction years ago from the regular flu shot and haven't had one since. The swine vaccine frightens me even more, but so does the thought of getting the flu. My doctors all have mixed reviews which only confuses more.:confused:

Hugs,
Pat

Brennan068 10-27-2009 05:14 PM

Quote:

Originally Posted by Pat 110 (Post 583259)
Thanks Brian. Have you always gotten the regular flu shot without any problems?

nope. I've only had it one other time and it wasn't the right mix that year. I was sick as a dog who got into the neighbor's trash ;) So far so good this year though.

Maxwell'sMom 10-27-2009 05:15 PM

Sometimes, I think it depends on what experiences the doctor has had. My doctor has had patients go into resp. failure from the flu shot, so he's not exactly a fan.
I was in bed for two weeks from the last one I got. I could barely move, or lift my head off my pillow. My breathing was horrible! It's just too dangerous for me to take the chance.
Love Lizzie

Pat 110 10-27-2009 05:21 PM

Thanks Brian. When I was recently in hospital, they asked me if I wanted the flu shot and the pneumonia shot. I wish I had taken the pneumonia shot since that's what people get so sick from with the flu and is so dangerous. Maybe I can still get one at my pcp's office.

Miss Margo 10-27-2009 05:28 PM

I have been debating about this.... I'm actually going to call tomorrow to the "big cheese" doctor I go to who teaches etc. on MG... to see what he recommends.

Pat 110 10-27-2009 06:22 PM

Lizzy, that's what happened to me quite a few years back, so I never had another one. My cousin is an RN and works for a major medical center in NY. He only got the regular flur shot and was home on a machine for his breathing for a week and couldn't get out of bed. He's so relieved the manditory H1N1 has been called off. He was so afraid to have that one too! It was on the news that something like 44 percent of parents in this country are not letting their school age children get vaccinated with the H1N1 vaccine. I thing I am going to become a hermet for the next few months. It reallly is a confusing topic.

Thanks everyone for you responses...I really appreciate your input and help.;)

Hugs,
Pat

Nicknerd 10-27-2009 06:24 PM

My neurologist told me to not get the flu shot...I haven't talked to her about the swine flu shot, but I'm assuming I'm not supposed to get that one either...

Kinda relieved...I'm pretty sure that I would get really sick from it, but then I still worry about getting the actual swine flu...:S

Pat 110 10-27-2009 06:32 PM

I understand just how you feel Nicky. It can be scary.:eek:

dog lover 10-27-2009 06:35 PM

Flu shots
 
I am not getting either one. My Neuro said if I wanted to get the seasonal he was ok with that. My Int. Med Dr told me yesterday she wanted me to get both but the H1N1 has to be a vaccine not the nasal spray. I told her I am terrified of them and plan to be extra careful this year. The scariest part is that once they are injected they are there and you can't reverse it. My sister was DXed with H1N1 about a month ago. She is perfectly healthy and is on her 6th round of meds. It has attacked her lungs terribly. She is getting better but her Dr. told her that it is spread through the eyes, ears and mouth. He suggested using a sinus rinse daily to get any bacteria out of the sinuses before they set in. He also said drinking a hot drink at night will help kill bacteria in the mouth. He suggested she wear glasses or sunglasses whenever possible to keep anything from getting in through the eyes. He said all of these are in addition to the basics, staying out of overpopulated areas as much as possible, washing your hands often and using hand sanitizer in between. I also have a friend going through radiation for breast cancer and she told me the same thing about the hot drinks and sinus rinse. I plan to try it. It certainly can't hurt. I am a firm believer in the sinus rinses. I used to get sinus infections yearly and haven't had one since I started using mine.
Kendra

Pat 110 10-27-2009 06:58 PM

Thanks Kendra, The sinus rinse and a hot drink at night sounds like a good idea.

suev 10-27-2009 07:01 PM

I've pretty much decided not to get any flu shot. We older folks are supposed to have some immunity left over from a flu strin in the 60's (perhaps the Hong Kong Flu? I got that one really bad - - and have never had flu since) And anybody who was born 1946 or earlier is supposed to have even better immunity.

I have a neuro appointment next week. I won't bring it up - but will be curious to see if they do!!

Sue

Nicknerd 10-27-2009 07:01 PM

Hey Kendra,

I totally agree about the sinus rinsing...I have one called, hydrasense, and it works pretty well...

One thing that I have been doing for years, before hearing about the nasal rinses, and I don't know if this is unhealthy or not, is snorting water up my nose then blowing it out...I've always had trouble clearing my nostrils...

neutro 10-28-2009 03:52 AM

Last year I got the seasonal flu shot without any problem.
This year I wish I had think it over...
While I was on my Pred taper scheme (from 5 mg pd to 4), I had the usual "bad" week following the change but it lasted longer this time, after 2 weeks, I was still feeling that general weakness. I saw my neuro which advised me to go back quickly to 5 mg, otherwise I may risk some other problems, which I did after a couple of days.
Unfortunately before the situation went back to "normal", I had the pneumonia shot, also advised by my neuro...Three days later, I felt much better (probably the Pred action?). That lasted 2 days, then the situation quickly deteriorated up to the early MG symptoms, jaw muscle weakness, chewing problems...
Now, about one month after the shot, I'm still waiting for my previous condition with the help of 10 mg Pred and an additionnal 60 mg Mestinon.
Needless to say that I completely forgot the flu(s) shot, also recommended by my neuro...
Maurice.

Joanmarie63 10-28-2009 08:14 AM

As per my Neuro.. NO shots for me. I don't do well with them. But he told me even he isn't going to take it. Didn't say why, he is just against them.

rezmommy 10-28-2009 01:53 PM

I get the flu shot every year and I have for years. I am going to get the H1N1 shot next week and the flu shot shortly after. My neuro felt that since I just went into crisis from a sore throat in Sept. that it would be advisable. I have three small kids and germs are everywhere! It's a personal choice, you have to do what feels right for you. :)

neutro 10-28-2009 07:05 PM

Rezmommy,
It is highly recommended to have shots at least 3 weeks apart...
Maurice.

rezmommy 10-29-2009 08:00 AM

Thanks for the info Maurice. :)

Pat 110 10-29-2009 08:19 AM

There was a doctor on one of the morning news talk shows, that said you can get one in one arm and one in the other.:eek: I don't think so! Pat

Miss Margo 10-29-2009 08:06 PM

Quote:

Originally Posted by Brennan068 (Post 583255)
Got pneumonia and flu shots, getting H1N1 asap.

Brian, did you happen to ask Dr. Nicolle what his thoughts are on this? They are sending me a letter about it, but wondered if you asked him when you saw him. Thx!

Brennan068 10-29-2009 08:24 PM

Quote:

Originally Posted by Miss Margo (Post 584103)
Brian, did you happen to ask Dr. Nicolle what his thoughts are on this? They are sending me a letter about it, but wondered if you asked him when you saw him. Thx!

I didn't because I already had made up my mind to get it as soon as possible. My wife is a teacher and my daughter goes to middle school; they'll be bringing it home for sure before this is all over. I'd rather not get it personally :). But the reading material he gave me says this regarding immunizations / vaccinations:

Quote:

Routine immunization for diphtheria, tetanus and pertussis (DTP), hepatitis B, and influenza ("flu shot") vaccine is NOT contraindicated in patients with myasthenia.

However, we recommend that you consider the timing of your immunizations. It may not be beneficial for you to be immunized when your disease is very active, in case you have a reaction to the vaccine that might aggravate your MG. Live or partially inactivated vaccines (eg. oral polio, Herpes Zoster (shingles) vaccine) should NOT be given to patients with myasthenia gravis who are on immunosuppression medications.

Note: If you are taking immunosuppressive agents (e.g. prednisone, azathiprine (Imuran) mycophenolate mofetil (CellCept), cyclosoporine (Neoral) or others) the vaccine may not be as effective. However, if your MG is stable, we still recommend that you be vaccinated, including the flu vaccine. (emphasis mine jbr)
-- General questions in Myasthenia Gravis; Wilma Koopman RN(EC), NP, and M. W. Nicolle MD, FRCPC, D.Phil

AnnieB3 10-29-2009 10:44 PM

Of course, if you have an egg allergy like I do, the point is moot! ;)

Miss Margo 10-30-2009 03:30 PM

Thanks brian..... so if I understand that mumble jumble (LOL) because I'm on immuran I shouldn't bother? Sometimes this double talk gets me... all I want is a yes or no! LOL

Brennan068 10-30-2009 03:56 PM

Quote:

Originally Posted by Miss Margo (Post 584375)
Thanks brian..... so if I understand that mumble jumble (LOL) because I'm on immuran I shouldn't bother? Sometimes this double talk gets me... all I want is a yes or no! LOL

If your MG is not flaring and there are no other reasons not to (egg allergy etc.) then YES get the shot.

Maxwell'sMom 10-31-2009 03:07 PM

My final two cents is, "Your own neuro knows YOU" I won't be getting the flu shot, not only because of what my neuro says, but because of my own experience with it.
I don't want to take the chance. Please everyone, listen to your body.
This is why Myasthenia is the Snowflake disease. We all react so differently. And it also depends probably on how bad one has Mg. My breathing tanks way too easily for me to take a chance. Okay, I'm pretty terrorified to try again.
Becareful out there.
Love Lizzie

Nicknerd 10-31-2009 07:05 PM

So I talked to my neuro's associate yesterday, and he said that I should absolutely not have the H1N1 shot. He said that they have seen patients who have gotten the flu shot go into crisis. He said that even the dead vaccines are dangerous for people with MG.

*knocks on wood* that I don't get the swine flu:eek:

Brennan068 10-31-2009 07:26 PM

Quote:

Originally Posted by Nicknerd (Post 584763)
So I talked to my neuro's associate yesterday, and he said that I should absolutely not have the H1N1 shot. He said that they have seen patients who have gotten the flu shot go into crisis. He said that even the dead vaccines are dangerous for people with MG.

*knocks on wood* that I don't get the swine flu:eek:

That disagrees with the information provided to me by Dr. Nicolle. Absolutely follow your wishes and if your neuro's associate is telling you this feel free to do so.

I am going with what my GP and Dr. Nicolle's info tells me.

Brian.

redtail 10-31-2009 10:56 PM

I asked my Neuro, and he advised me to have it. I thought about it lots, and decided I really don't want to go through a bad flu, so had the vaccine.
I'm with Lizzie, we each know our one body, and with that as well as advice from our Neuro/GP should decide(not that it makes it any easier.)

SharS 11-01-2009 09:26 AM

I had the flu shot in one arm and the pneumonia shot in the other arm on the same day and had no problems. I am not going to get the HINI vaccine, though - too nervous about it. My regular doctor wants me to have it all - he is worried because of the breathing problems I've been having this year. I agree with everyone else, listen to your doctor and your body and make a decision accordingly.

I've been reading all the posts, but am out of town again at my daughter's in Richmond, VA, and not strong enough to be posting - but am keeping up and thinking and praying for all of you!

neutro 11-01-2009 11:36 AM

I think the problem of H1N1 flu shot or not is partially based on the fact that they are 2 different kinds of H1N1 flu shots: one with an "additive" (I'm not sure whether it's the right word) and one without...
The objective of the additive is to boost the effect of the vaccine and this type of vaccine is not recommended for people like MG'ers (most likely under immunosuppressants) unfortunately, it is far more frequent than the other (without additive).
It is thus highly advisable for those of us who want to get the H1N1 flu shot to know exactly the type of vaccine you are getting, otherwise, skip it!
Maurice.

Maxwell'sMom 11-01-2009 11:50 AM

Hi Brian
 
Hi Brian, this is why the one expert said "The only this predictable about Myasthenia Gravis, is it's unpredictability." (two years ago, at the MG conference"
Not often, but some Neuro's will okay the flu shot, but many don't. I really have come to believe that it all depends on their personal experiences with their patients.
My Neuro is a Neuro Muscular Specialist, Has many many MG patients, and is a director of his cities MDA. But even among MG specialists, there will be verying opinions.
It's one of the reasons it's so important to know your own body.
How long have you've had MG? And how bad?
Much Love,and prayers
Lizzie

Brennan068 11-01-2009 12:16 PM

Quote:

Originally Posted by Maxwell'sMom (Post 584939)
Hi Brian, this is why the one expert said "The only this predictable about Myasthenia Gravis, is it's unpredictability." (two years ago, at the MG conference"
Not often, but some Neuro's will okay the flu shot, but many don't. I really have come to believe that it all depends on their personal experiences with their patients.
My Neuro is a Neuro Muscular Specialist, Has many many MG patients, and is a director of his cities MDA. But even among MG specialists, there will be verying opinions.
It's one of the reasons it's so important to know your own body.
How long have you've had MG? And how bad?
Much Love,and prayers
Lizzie

I've had it for two years now. How bad depends on who you ask ;) I couldn't eat very well and lost 140lbs due to MG, but my limbs are not severely effected.

My current neuro is a generalist, that's why I went to see a MG specialist last week. He's an associate professor of neurology at the University of Western Ontario. He researches MG, teaches other neurologists and carries a practice through the University (teaching hospital). He was the medical editor for You, Me and Myasthenia Gravis ( http://youmeandmg.com/ ) Me, I'm going to believe whatever the man has to say about MG.

That said, You and your neuro know you best. If your neuro says you shouldn't have it, then you shouldn't have it. If you feel your MG is not very well controlled (i.e. it doesn't take much at all to push you over the edge to a week on the couch), you shouldn't have it. For the others who are wondering, I passed along the information provided to me by Dr. Nicolle.

cherry33778 11-01-2009 12:38 PM

H1N1 and Flu Vaccine
 
Hi Guys!

I had both shots, the H1N1 and the Flu vaccine on the 29th, I have already been vaccinated for the pneumonia one in 2007. My doctor said it was safe for me and I made sure I did not get the nasal spray H1N1 since that is the LIVE virus. I haven't had any problems yet and it has been 3 days since.

A word of caution, the H1N1 does burn when it is injected.

I am so used to needles to where I only make a face SOMETIMES, but I did say OUCH when the nurse inserted it.

I hope everyone is doing well,

Stephanie

Maxwell'sMom 11-01-2009 12:45 PM

Brian, It's great you have good communication with your neuro, and you have faith in his knowledge. That's a huge step in the right direction.Too many people have gone for years with an uninformed Neuro. And Myasthenia is a crazy disease, and it can take a couple years to really figure out all the signs our bodies will give. And then just when you feel as though you have it all figured out, wham...something new pops it's ugly little head. So being able to have faith in your doctors knowledge is truly a blessing.

Working together with your neuro is so important. It's a team effort. I never had the problems most people have with diagnosis, or with getting a good neuro, but I've experienced it in other areas, and it's not fun.

When you do get the flu shot, please watch your body carefully for signs of breathing issues, feeling more fatigue than normal. My guess is that your neuro hasn't had many of his patients go into a crisis from the shot, and I pray that continues. It's an awful thing for the paitent, and the doctor to go through.
I suspect you'll be fine, otherwise, your doctor wouldn't allow you to have it.
Please forgive some of us for being so concerned when it comes to getting the flu shot.
As some of us have had life threatening problems, and don't want to see you go through it. We've made it our buisness to educate others with MG on what can happen.
I for one, can't ever sit back and not say anything. But it does sound like your neuro is diligent, and will keep and eye on you. I'm sure he's given you a list of things to watch for...a "just in case list".;) I'm always getting those. Just tuck them away in a folder to pull out when you need them.
Love, and best of wishes
Lizzie



Nicknerd 11-01-2009 01:00 PM

Brian,

You lost 140 lbs? That's a crazy amount of weight! Over what time period- two years?

I think that I lost about 20 lbs, but my weight is back up again, thank God...I only have minor problems with swallowing, though...Eating causes me problems because of a weak tongue, mainly...

Did they ever suggest giving you a feeding tube?

Yeah, this flu shot is throwing me for a loop...I suspect that I might be able to handle it since I get infections like it's no one's business already on account of the prednisone, and I don't go into crisis from those, although my speech goes up in flames...

I think that I will ask my GP, but he seems to always agree with everything my neuro. says...

Brennan068 11-01-2009 01:54 PM

Quote:

Originally Posted by Nicknerd (Post 584960)
Brian,

You lost 140 lbs? That's a crazy amount of weight! Over what time period- two years?


I lost 140 over 10 months last year (between Jan - Oct). I'm back up about 10-20 now though :)

Pat 110 11-02-2009 04:23 PM

Thank you everyone again for all your responses. You guys are the best!;)

Big Hugs,
Pat


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