OB-GYN NORTH is the practice of

Christina Sebestyen, MD, FACOG, Tesa Miller, MD, FACOG, April Schiemenz, MD,
Siobhan Kubesh, CNM, Lisa Carlile, CNM, Kathy Harrison-Short, CNM and Katherine Davidson , FPNP

Tuesday, September 8, 2009

Influenza Information from the CDC

Inactivated Influenza What You Need To Know Vaccine 2009-10

Many Vaccine Information Statements are available in Spanish and other languages.

See http://www.cdc.gov/vaccines/pubs/VIS/downloads/vis-flu.pdf

  1. Why get vaccinated?

Infl uenza ("flu") is a contagious disease. It is caused by the influenza virus, which can be spread by coughing, sneezing, or nasal secretions. Other illnesses can have the same symptoms and are often mistaken for influenza. But only an illness caused by the influenza virus is really influenza. Anyone can get influenza, but rates of infection are highest among children. For most people, it lasts only a few days.

It can cause:

• fever

• sore throat

• chills

• fatigue

• cough

• headache

• muscle aches

Some people, such as infants, elderly, and those with certain health conditions, can get much sicker. Flu can cause high fever and pneumonia, and make existing medical conditions worse. It can cause diarrhea and seizures in children. On average, 226,000 people are hospitalized every year because of influenza and 36,000 die – mostly elderly. Influenza vaccine can prevent influenza.

  1. Who should get inactivated influenza vaccine?

Anyone who wants to reduce the likelihood of becoming ill with influenza or spreading influenza to others. All children 6 months and older and all older adults:

• All children from 6 months through 18 years of age.

• Anyone 50 years of age or older. Anyone who is at risk of complications from influenza, or more likely to require medical care:

• Women who will be pregnant during influenza season.

• Anyone with long-term health problems with: -heart disease - kidney disease - liver disease -lung disease - metabolic disease, such as diabetes -asthma - anemia, and other blood disorders

• Anyone with a weakened immune system due to: -HIV/AIDS or other diseases affecting the immune system -long-term treatment with drugs such as steroids -cancer treatment with x-rays or drugs

• Anyone with certain muscle or nerve disorders (such as seizure disorders or cerebral palsy) that can lead to breathing or swallowing problems.

• Anyone 6 months through 18 years of age on long-term aspirin treatment (they could develop Reye Syndrome if they got influenza).

• Residents of nursing homes and other chronic-care facilities. Anyone who lives with or cares for people at high risk for influenza-related complications:

• Health care providers.

• Household contacts and caregivers of children from birth up to 5 years of age.

• Household contacts and caregivers of -people 50 years and older, or -anyone with medical conditions that put them at higher risk for severe complications from influenza. Health care providers may also recommend a yearly influenza vaccination for:

• People who provide essential community services.

• People living in dormitories, correctional facilities, or under other crowded conditions, to prevent outbreaks.

• People at high risk of influenza complications who travel to the Southern hemisphere between April and September, or to the tropics or in organized tourist groups at any time.

              1. When should I get influenza vaccine?

              You can get the vaccine as soon as it is available, usually in the fall, and for as long as illness is occurring in your community. Influenza can occur any time from November through May, but it most often peaks in January or February. Getting vaccinated in December, or even later, will still be beneficial in most years.

              Most people need one dose of influenza vaccine each year. Children younger than 9 years of age getting influenza vaccine for the first time – or who got influenza vaccine for the first time last season but got only one dose – should get 2 doses, at least 4 weeks apart, to be protected.

              Influenza vaccine may be given at the same time as other vaccines, including pneumococcal vaccine.

              1. Some people should talk with a doctor before getting influenza vaccine.

              Some people should not get inactivated influenza vaccine or should wait before getting it.

              • Tell your doctor if you have any severe (life-threatening) allergies. Allergic reactions to influenza vaccine are rare. -Influenza vaccine virus is grown in eggs. People with a severe egg allergy should not get the vaccine. -A severe allergy to any vaccine component is also a reason to not get the vaccine. -If you have had a severe reaction after a previous dose of influenza vaccine, tell your doctor.

              • Tell your doctor if you ever had Guillain-Barré Syndrome (a severe paralytic illness, also called GBS). You may be able to get the vaccine, but your doctor should help you make the decision.

              • People who are moderately or severely ill should usually wait until they recover before getting flu vaccine. If you are ill, talk to your doctor or nurse about whether to reschedule the vaccination. People with a mild illness can usually get the vaccine.

              1. What are the risks from inactivated influenza vaccine?

              A vaccine, like any medicine, could possibly cause serious problems, such as severe allergic reactions. The risk of a vaccine causing serious harm, or death, is extremely small. Serious problems from infl uenza vaccine are very rare. The viruses in inactivated influenza vaccine have been killed, so you cannot get influenza from the vaccine.

              Mild problems:

              • soreness, redness, or swelling where the shot was given

              • hoarseness; sore, red or itchy eyes; cough

              • fever

              • aches If these problems occur, they usually begin soon after the shot and last 1-2 days.

              Severe problems:

              • Life-threatening allergic reactions from vaccines are very rare. If they do occur, it is usually within a few minutes to a few hours after the shot.

              • In 1976, a type of influenza (swine flu) vaccine was associated with Guillain-Barré Syndrome (GBS). Since then, flu vaccines have not been clearly linked to GBS. However, if there is a risk of GBS from current flu vaccines, it would be no more than 1 or 2 cases per million people vaccinated. This is much lower than the risk of severe influenza, which can be prevented by vaccination.

              1. What if there is a severe reaction?

              What should I look for?

              Any unusual condition, such as a high fever or behavior changes. Signs of a severe allergic reaction can include difficulty breathing, hoarseness or wheezing, hives, paleness, weakness, a fast heart beat or dizziness.

              What should I do?

              • Call a doctor, or get the person to a doctor right away.

              • Tell the doctor what happened, the date and time it happened, and when the vaccination was given.

              • Ask your provider to report the reaction by filing a Vaccine Adverse Event Reporting System (VAERS) form. Or you can fi le this report through the VAERS website at www.vaers.hhs.gov, or by calling 1-800-822-7967. VAERS does not provide medical advice.

              How can I learn more?

              Ask your provider. They can give you the vaccine package insert or suggest other sources of information.

              • Call your local or state health department.

              • Contact the Centers for Disease Control and Prevention (CDC): -Call 1-800-232-4636 (1-800-CDC-INFO) or -Visit CDC’s website at www.cdc.gov/flu

              Thursday, September 3, 2009

              Welcome Dr. Martha Schmitz, MD. PA. To our Call Panel

              Martha E. Schmitz, M.D., has practiced in the Austin area since 1994. She believes that health care delivery should be kind and compassionate and adaptable between patient and provider. She also has a strong belief in being a part of the innovative and holistic collaborative care model. She enjoys all aspects of OB and Gyn practice and women of all ages. The focus in her OB/GYN practice is wellness with up-to-date treatments and surgery when indicated.

              Dr. Schmitz was board certified by the American College of Obstetrics and Gynecology in 1996. She attended medical school at the University of Texas Medical School in Galveston in 1989 and completed her residency in obstetrics and gynecology at the State University of New York at Syracuse in 1993. Dr. Schmitz is a fellow of the American College of Obstetrics and Gynecology. Her professional affiliations include membership in the ACOG, the Texas Medical Association, the Texas Association of OB/GYNs and the Travis County Medical Society. Dr. Schmitz enjoys spending time with her two children daughter Lila and son Nicholas.

              Welcome to our New Website

              We want to welcome YOU to Our New Website and point out a few features that will help with navigating through to useful information about us!

              If you scroll on the “Our Clinic Tab” you will find information about our practice history, providers, insurances we accept, and forms to fill out prior to your visit.

              If you scroll on the “Services Tab” you will find detailed information on obstetrical services, gynecological services, and surgical services that we offer at our practice.

              If you scroll on the “Testimonials Tab” you will be able to read letters, emails, and cards we have received from other patients and their experiences with our practice.

              If you scroll on the “Patient Education Tab” you will find a variety of information from the American College of Obstetricians and Gynecologists (ACOG), child birth information (classes), helpful weblinks, and a link to North Austin Medical Center (NAMC) Maternity services.

              If you would like to tell us how we are doing you can click on the “Survey Tab” and let us know what you think!

              If you scroll on the “News Tab” this will bring you to articles that have been written about our practice, midwives, or providers.

              If you scroll on the “Blog Tab” you will find weekly information material that will be posted by one of our staff members regarding a variety of topics from obstetrics, gynecology, to billing, and questions from our customers.

              If you scroll on the “Contact Us” you will find a map of our location along with our contact information. You can also enter your information and send us questions via email and you will have a call or email response back you to within 48hrs.

              If you are a current patient you will have access to our “Patient Portal Tab” however you will need to have a user name and password to access the portal.

              If you would like to pay your bill by PayPal you now have that option by scrolling over the “Online Bill Pay Tab” and following the steps.

              Once again we are excited to be serving YOU and such a dynamic group of Women in Austin!