- I suggest all of us avoid public gatherings. Outdoor activities are not as likely to lead to infection. It is contained areas and close contact that
are the biggest risk.
- Tamiflu is running out. There is a national stockpile, but it will have to be carefully managed for law enforcement and first responders as it is
not enough to treat the likely number of infections when this is full-blown. I don't think there is a big supply of Relenza, but I do not know those
numbers. If I had to choose, I would take Relenza, as I think it gets more drug to the affected tissue than Tamiflu.
- You should avoid going to the ER if you think you have been exposed or are symptomatic. ER's south of here are becoming overwhelmed today--
and I mean that -- already. It is coming in waves, but the waves are getting bigger.
- It appears that this flu produces a distinctive "hoarseness" in many victims. The symptoms, in general, match other flu's; namely, sore
throat, body aches, headache, cough, and fever. What is not too common in regular flu cycles is vomiting and diarrhea which seems to be associated
with this, further dehydrating victims. Some have all these symptoms, while others may have only one or two.
- N-Acetyl-Cysteine -- a nutritional supplement available at the health food store or Wimberley Pharmacy, has been shown to prevent or lessen
the severity of influenza. I suggest 1200mg, twice a day for adults, and 600mg twice a day in kids over 12. It would be hard to get kids under 12 to
take it, but you could try opening the capsules and putting it on yogurt. For 40 pounds and up, 300-600 mg twice a day, for less than 40 pounds, half
that.
- Oscillococinum, a homeopathic remedy, has been vindicated as quite effective in a large clinical trial in Europe, with an H1N1 variant. You
can buy this at Hill Country Natural Foods, or the Wimberley Pharmacy.
If any of my patients become ill, or suspect infection, call the office, do not come without calling and DO NOT go to the ER. If one member in
a family is identified all would be given the Tamiflu or Relenza (that is normal course of action) if there is enough distributed to fill
prescriptions. Public health stated that one family member identified or suspected to have contracted the flu it will require the whole family to be
‘quarantined’ in their own home until enough time has passed for the remaining household to have contracted it or be considered infection free ( 7
to 10 days per person). As another suggestion, if any member of the family is on routine medication- fill those prescriptions now. Have plenty fluids,
Motrin, soups, etc available and make contingency plans in case your family is affected.
Dr. Marcus Gitterle
New Braunfels, TX
Bolded phrase by me
[edit on 4/29/2009 by Champagne]




