Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Getting the flu shot isn’t about you

Claire McCarthy, MD
Meds
October 17, 2013
Share
Tweet
Share

Flu season has begun, which means that it’s flu shot time.

I see lots of different responses when I talk to families at our clinic about the flu shot. Some are happy to get it. Others are unsure, worried about side effects. Others plain old refuse.

Plain old refusal isn’t an option for me — as a doctor and an employee of Boston Children’s. I need to get it — and I did, last week (they were out of red lollipops, so I had to settle for purple). But even without being told to get it I would have. Because not only do I not want to get the flu (I got it once, and it was no fun), this isn’t just about me.

It’s not that I don’t know that there might be side effects, or that it might not work. I know that. But the side effects are usually mild (like some muscle soreness or feeling a bit icky for a day or two), and given that the flu can’t be counted on to be mild, I’ll take whatever protection I can get. Especially because this isn’t just about me.

This year, there are some new options when it comes to the flu shot. There is a quadrivalent version, meaning that it protects against four strains of the influenza virus instead of three. All of the nasal spray versions, or LAIV (live attenuated influenza virus) are quadrivalent, and there are injectable versions too.  There is also a version made without any eggs at all (for those with severe egg allergies) and one that gets injected into the skin with a smaller needle (for those who really don’t like needles), although both at this point are only for adults, ages 18 and older. And for those 65 and older, who are more likely to end up hospitalized with flu, there is a high-dose version of the trivalent shot.

There are remarkably few people over the age of 6 months who shouldn’t get a flu shot. People with a history of an allergic reaction to the flu shot itself, or with a history of Guillain-Barre Syndrome (if you haven’t heard of it, you likely haven’t had it) shouldn’t get it. Some children with severe egg allergies shouldn’t get it, but many can — check with your doctor. The nasal spray is only recommended for healthy people ages 2 to 49, who aren’t pregnant and don’t have close contact with someone with serious problems with their immune systems — but most people who can’t get the spray can get the shot.

It’s important for everyone who can to get something — because it’s not just about you.

I can’t remember why I didn’t get the flu shot the year I got the flu, many years ago. I was busy when it was offered, and then I didn’t get around to it, although I kept meaning to. I got a miserable case of the flu, but the bigger problem was that I gave it to everyone around me. My youngest child at the time had a fever for 10 days. My sister came to visit, and ended up in an emergency room a few days later — as did her husband a few days after that. It took quite a while before we were all well. I’ve never missed a shot since.

And the thing was, we were lucky. All of us were basically healthy people, which helped. We were lucky enough not to get any complications of flu, which can happen even to healthy people. But we might not have been so lucky — and it scares me to think of all the people we might have infected, or did infect.

See, that’s the thing: every year, some people get really sick or even die from the flu. The people most at risk are the very young, the very old and people with underlying diseases like asthma or problems with their immune systems. Some of those people, like newborns, can’t get the flu shot — and even when they do, it doesn’t always work. When everyone around them gets a flu shot, it helps keep them safe. When someone around them gets the flu, it can put their life in danger.

That’s why it’s really important to get vaccinated. If you have questions or concerns about the flu shot, check out the flu website of the Centers for Disease Control and Prevention, and talk to your doctor. But please, if you are thinking about not getting it, remember:

It’s not just about you.

Claire McCarthy is a primary care physician and the medical director of Boston Children’s Hospital’s Martha Eliot Health Center.  She blogs at Thriving, the Boston Children’s Hospital blog, Vector, the Boston Children’s Hospital science and clinical innovation blog.

Prev

Why doctors need to be more like Malcolm Gladwell

October 17, 2013 Kevin 11
…
Next

Making the choice between nursing and medicine

October 18, 2013 Kevin 6
…

ADVERTISEMENT

Tagged as: Medications, Primary Care

Post navigation

< Previous Post
Why doctors need to be more like Malcolm Gladwell
Next Post >
Making the choice between nursing and medicine

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Claire McCarthy, MD

  • Sometimes, talking to strangers is necessary

    Claire McCarthy, MD
  • Maybe God made teenagers difficult so we can let them go

    Claire McCarthy, MD
  • 4 mistakes parents make in the pediatrician’s office

    Claire McCarthy, MD

More in Meds

  • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

    Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO
  • A world without antidepressants: What could possibly go wrong?

    Tomi Mitchell, MD
  • The truth about GLP-1 medications for weight loss: What every patient should know

    Nisha Kuruvadi, DO
  • The hidden bias in how we treat chronic pain

    Richard A. Lawhern, PhD
  • Biologics are not small molecules: the case for pre-allergy testing in an era of immune-based therapies

    Robert Trent
  • The anesthesia spectrum: Guiding patients through comfort options in oral surgery

    Dexter Mattox, MD, DMD
  • Most Popular

  • Past Week

    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech
    • Navigating fair market value as an independent or locum tenens physician [PODCAST]

      The Podcast by KevinMD | Podcast
    • Gaslighting and professional licensing: a call for reform

      Donald J. Murphy, MD | Physician
    • How self-improving AI systems are redefining intelligence and what it means for health care

      Harvey Castro, MD, MBA | Tech
    • How blockchain could rescue nursing home patients from deadly miscommunication

      Adwait Chafale | Tech
    • When service doesn’t mean another certification

      Maureen Gibbons, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 34 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech
    • Navigating fair market value as an independent or locum tenens physician [PODCAST]

      The Podcast by KevinMD | Podcast
    • Gaslighting and professional licensing: a call for reform

      Donald J. Murphy, MD | Physician
    • How self-improving AI systems are redefining intelligence and what it means for health care

      Harvey Castro, MD, MBA | Tech
    • How blockchain could rescue nursing home patients from deadly miscommunication

      Adwait Chafale | Tech
    • When service doesn’t mean another certification

      Maureen Gibbons, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Getting the flu shot isn’t about you
34 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...