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	<title>Comments on: Tuesdays Are Your Turn &#8211; Coping with Swine Flu</title>
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	<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/</link>
	<description>Is your kid an inferior breather? Mine, too. Let's talk.</description>
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		<title>By: leslie</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-6760</link>
		<dc:creator>leslie</dc:creator>
		<pubDate>Thu, 21 Jan 2010 01:14:49 +0000</pubDate>
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		<description>Hi.  I just found this website and it was really encouraging to me to discover that other moms also have anxiety about their child&#039;s asthma.  My 5 yr old and 4 yr old boys both have asthma.  My 5 yr old has h1n1, no symptoms for my 4 yr old... yet.   I am wondering, does anyone know if the albuterol treatments @ neb could possibly push the infection down deeper in my son&#039;s airways.   I know that sounds dumb, but I was just wanting another opinion.  My dr. said not to bother with tamiflu, so I am giving robitussin for chest congestion, albuterol @ neb, ibuprofen for headache and fever.   Any other suggestions??  Thanks</description>
		<content:encoded><![CDATA[<p>Hi.  I just found this website and it was really encouraging to me to discover that other moms also have anxiety about their child&#8217;s asthma.  My 5 yr old and 4 yr old boys both have asthma.  My 5 yr old has h1n1, no symptoms for my 4 yr old&#8230; yet.   I am wondering, does anyone know if the albuterol treatments @ neb could possibly push the infection down deeper in my son&#8217;s airways.   I know that sounds dumb, but I was just wanting another opinion.  My dr. said not to bother with tamiflu, so I am giving robitussin for chest congestion, albuterol @ neb, ibuprofen for headache and fever.   Any other suggestions??  Thanks</p>
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		<title>By: Asthma Mom &#187; Reader Tips</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-6194</link>
		<dc:creator>Asthma Mom &#187; Reader Tips</dc:creator>
		<pubDate>Mon, 23 Nov 2009 01:05:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-6194</guid>
		<description>[...] How Do You Cope? [...]</description>
		<content:encoded><![CDATA[<p>[...] How Do You Cope? [...]</p>
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		<title>By: Kelley</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5735</link>
		<dc:creator>Kelley</dc:creator>
		<pubDate>Wed, 14 Oct 2009 16:47:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5735</guid>
		<description>Roe,

There is an odd comfort from hearing others going through the same thing. My daughter&#039;s asthma started from a sinus infection that did not go completely away until almost a year later (had an adenoidectomy). After numerous rounds on antibiotics for it, her dr wanted her to have a break on them since the SI was looking like it was cleared up. 2 weeks later (in the middle of summer) she developed a high fever just before midnight...the ER x-rays showed that she had pneumonia in her right lung. She seems to be better now after the adenoid surgery, but to know that she can seemingly, just randomly, develop pnuemonia keeps me in a constant state of anxiety. She has a cold now, so we&#039;ve seen her dr., increased her maintenance meds, added an antibiotic nasal wash (to her usual ritual of saline rinses and nasonex). The good news is that when we saw the dr. last week her lung function was really good - this is an improvement over her ususally deminished lung function during colds.  My daughter&#039;s asthma is always worsened by any post nasal drip, whether from allergies (she takes claritin daily with the nasonex) or a cold or sinus infection or her GERD. I hope your grand daughter stays better and doesn&#039;t have to go through any bouts of pneumonia again.

I can&#039;t thank you enough Amy for creating this site! I&#039;m a single asthma mom, so in addition to actually being all alone with my AG, this disease has made me feel even more isolated - it&#039;s great to see I&#039;m really not alone.</description>
		<content:encoded><![CDATA[<p>Roe,</p>
<p>There is an odd comfort from hearing others going through the same thing. My daughter&#8217;s asthma started from a sinus infection that did not go completely away until almost a year later (had an adenoidectomy). After numerous rounds on antibiotics for it, her dr wanted her to have a break on them since the SI was looking like it was cleared up. 2 weeks later (in the middle of summer) she developed a high fever just before midnight&#8230;the ER x-rays showed that she had pneumonia in her right lung. She seems to be better now after the adenoid surgery, but to know that she can seemingly, just randomly, develop pnuemonia keeps me in a constant state of anxiety. She has a cold now, so we&#8217;ve seen her dr., increased her maintenance meds, added an antibiotic nasal wash (to her usual ritual of saline rinses and nasonex). The good news is that when we saw the dr. last week her lung function was really good &#8211; this is an improvement over her ususally deminished lung function during colds.  My daughter&#8217;s asthma is always worsened by any post nasal drip, whether from allergies (she takes claritin daily with the nasonex) or a cold or sinus infection or her GERD. I hope your grand daughter stays better and doesn&#8217;t have to go through any bouts of pneumonia again.</p>
<p>I can&#8217;t thank you enough Amy for creating this site! I&#8217;m a single asthma mom, so in addition to actually being all alone with my AG, this disease has made me feel even more isolated &#8211; it&#8217;s great to see I&#8217;m really not alone.</p>
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		<title>By: Roe</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5688</link>
		<dc:creator>Roe</dc:creator>
		<pubDate>Sat, 10 Oct 2009 16:55:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5688</guid>
		<description>It is two weeks ago today that my more-than-precious grand-daughter(on her 7th birthday!) was diagnosed (x-ray) with pneumonia.  She has viral-induced asthma, among other allergies she is also dairy(hives) and penicillin sensitive.  B/C of her dairy issues, we also keep her away from chocolates/seafood/and of course all nuts to be on the safe side.  Poor babe has never enjoyed a real ice cream cone or hot cocoa or P&amp; J sandwich. Started using the nebulizer at 2 months with bronchiolitis. She seems to share any and every germ in her classroom.  This most recent bug was very unusual. When we picked her up from school, (Thursday) she had a slight cough.  She was very animated telling us about her fun gym day b/c she was chosen captain of her kickball team.  So we assumed her cough might be from running outdoors with the Autumn mold/allergy stuff.  She ate well, had no fever but Mom gave her a xoepenex treatment before bed for the increasing  by now junky-sounding cough.  Mom kept her home Friday just in case. and went to the Ped who said it was probably a virus. Now this was with NO fever, no runny nose(a bit of drainage in throat) but LOTS of coughing. Mom was told to give neb treatments every  four hours during the day.  A few hours after going to sleep, we were all awakened by her shrill crying and non-sensical sleep-talking.  She could not comforted/quieted which is very unusual for her sweet demeanor.  Her temp was 98.8 and she was having alot of retracting breathing and unsettling nausea.  She was actually better when she finally vomited(cleared the gunk a bit). The night call nurse told my daughter NOT to give her any more treatments until she was re-checked.  She said the treatments can cause the issues she was having.  Despite our better judgement, (with years of going through this with her Mom and four other kiddos with varying allergy/asthma issues), we decided maybe we needed to listen to the nurse.  Our darlin&#039; woke up still feverless yet horrible constant coughing. A trip back to ped(of course, regular dr not there) and NP gave her a treatment which did not alleviate wheeze then gave her a duo-Neb which still did not help so xray at hospital confirmed pneumonia showing in left lung.    So home she went...azithromycin, oral pred(both 5 days) and duo-neb (7 days)and pulmicort 2x day, last one  today.  Coughing lasted a good 6-7 days even with all the treatments.  This is actually how most of her cold flares go.  I can vividly recall with my own kids, its like cough day one, more cough day 2, tons of cough day 3 -5, then slowly it starts to back off.  Through even the worse illnesses(lots of coughing w/higher fevers) she had never had pneumonia.
After all this extremely long dissertation(SORRY!) my point is, the drs never mentioned flu and I could not believe she progressed to PNEUMONIA without FEVER or even prior cold symptoms!  Very scary.  Esp. since she comes down with these runny nose = cough-cough sessions several times a year.  We are all worried about the NEXT time.  Pneumonia has always been the dreaded end-all of the flu and yet she was diagnosed without really being sick beforehand!  So, IS this a new bug...a fever-less flu? Final Dr. visit said it was mucous-plugs in lungs causing her problems....but still, it seems very strange the way this evolved.  She was back in school all week and (thank goodness) has no new symptoms of germ-sharing yet! And there so far has been very minimal absenteeism in her school.
Thanks for listening to this Mom(35 years already!) who as a &quot;Mima&quot; worries even more(and I was a major mess back then too!)</description>
		<content:encoded><![CDATA[<p>It is two weeks ago today that my more-than-precious grand-daughter(on her 7th birthday!) was diagnosed (x-ray) with pneumonia.  She has viral-induced asthma, among other allergies she is also dairy(hives) and penicillin sensitive.  B/C of her dairy issues, we also keep her away from chocolates/seafood/and of course all nuts to be on the safe side.  Poor babe has never enjoyed a real ice cream cone or hot cocoa or P&amp; J sandwich. Started using the nebulizer at 2 months with bronchiolitis. She seems to share any and every germ in her classroom.  This most recent bug was very unusual. When we picked her up from school, (Thursday) she had a slight cough.  She was very animated telling us about her fun gym day b/c she was chosen captain of her kickball team.  So we assumed her cough might be from running outdoors with the Autumn mold/allergy stuff.  She ate well, had no fever but Mom gave her a xoepenex treatment before bed for the increasing  by now junky-sounding cough.  Mom kept her home Friday just in case. and went to the Ped who said it was probably a virus. Now this was with NO fever, no runny nose(a bit of drainage in throat) but LOTS of coughing. Mom was told to give neb treatments every  four hours during the day.  A few hours after going to sleep, we were all awakened by her shrill crying and non-sensical sleep-talking.  She could not comforted/quieted which is very unusual for her sweet demeanor.  Her temp was 98.8 and she was having alot of retracting breathing and unsettling nausea.  She was actually better when she finally vomited(cleared the gunk a bit). The night call nurse told my daughter NOT to give her any more treatments until she was re-checked.  She said the treatments can cause the issues she was having.  Despite our better judgement, (with years of going through this with her Mom and four other kiddos with varying allergy/asthma issues), we decided maybe we needed to listen to the nurse.  Our darlin&#8217; woke up still feverless yet horrible constant coughing. A trip back to ped(of course, regular dr not there) and NP gave her a treatment which did not alleviate wheeze then gave her a duo-Neb which still did not help so xray at hospital confirmed pneumonia showing in left lung.    So home she went&#8230;azithromycin, oral pred(both 5 days) and duo-neb (7 days)and pulmicort 2x day, last one  today.  Coughing lasted a good 6-7 days even with all the treatments.  This is actually how most of her cold flares go.  I can vividly recall with my own kids, its like cough day one, more cough day 2, tons of cough day 3 -5, then slowly it starts to back off.  Through even the worse illnesses(lots of coughing w/higher fevers) she had never had pneumonia.<br />
After all this extremely long dissertation(SORRY!) my point is, the drs never mentioned flu and I could not believe she progressed to PNEUMONIA without FEVER or even prior cold symptoms!  Very scary.  Esp. since she comes down with these runny nose = cough-cough sessions several times a year.  We are all worried about the NEXT time.  Pneumonia has always been the dreaded end-all of the flu and yet she was diagnosed without really being sick beforehand!  So, IS this a new bug&#8230;a fever-less flu? Final Dr. visit said it was mucous-plugs in lungs causing her problems&#8230;.but still, it seems very strange the way this evolved.  She was back in school all week and (thank goodness) has no new symptoms of germ-sharing yet! And there so far has been very minimal absenteeism in her school.<br />
Thanks for listening to this Mom(35 years already!) who as a &#8220;Mima&#8221; worries even more(and I was a major mess back then too!)</p>
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		<title>By: Amy</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5683</link>
		<dc:creator>Amy</dc:creator>
		<pubDate>Sat, 10 Oct 2009 02:12:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5683</guid>
		<description>Hi Lesley, and welcome to the site. I&#039;m so glad you found your way here &amp; happy that reading comments from other asthma parents helps...I know it sure helps me. Please stick around--I&#039;d love to see more of your input in the site.</description>
		<content:encoded><![CDATA[<p>Hi Lesley, and welcome to the site. I&#8217;m so glad you found your way here &#038; happy that reading comments from other asthma parents helps&#8230;I know it sure helps me. Please stick around&#8211;I&#8217;d love to see more of your input in the site.</p>
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		<title>By: Lesley</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5678</link>
		<dc:creator>Lesley</dc:creator>
		<pubDate>Fri, 09 Oct 2009 15:13:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5678</guid>
		<description>I nearly cried when I read the responses to this post.  To see so many other moms out there going through exactly what I am - and feeling as I do - is so reassuring.  Lying awake waiting for the cough, then jumping a foot and having your heart race and stomach clench when it comes...sneaking into their room in the middle of the night to listen to how they sound...wanting to read everything you can and realizing it is only making you more anxious...I feel like I am losing my mind sometimes!  I wish I had some good coping mechanisims, and am considering anti-anxiety medication, but reading these posts and realizing it is not just me &#039;over reacting&#039; will help, especially in the middle of the dreaded night.  Thanks to you all!</description>
		<content:encoded><![CDATA[<p>I nearly cried when I read the responses to this post.  To see so many other moms out there going through exactly what I am &#8211; and feeling as I do &#8211; is so reassuring.  Lying awake waiting for the cough, then jumping a foot and having your heart race and stomach clench when it comes&#8230;sneaking into their room in the middle of the night to listen to how they sound&#8230;wanting to read everything you can and realizing it is only making you more anxious&#8230;I feel like I am losing my mind sometimes!  I wish I had some good coping mechanisims, and am considering anti-anxiety medication, but reading these posts and realizing it is not just me &#8216;over reacting&#8217; will help, especially in the middle of the dreaded night.  Thanks to you all!</p>
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		<title>By: Allison</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5664</link>
		<dc:creator>Allison</dc:creator>
		<pubDate>Thu, 08 Oct 2009 16:57:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5664</guid>
		<description>I just read this article and really liked it.  Thought you all might too: http://www.newyorker.com/talk/comment/2009/10/12/091012taco_talk_specter</description>
		<content:encoded><![CDATA[<p>I just read this article and really liked it.  Thought you all might too: <a href="http://www.newyorker.com/talk/comment/2009/10/12/091012taco_talk_specter" rel="nofollow">http://www.newyorker.com/talk/comment/2009/10/12/091012taco_talk_specter</a></p>
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		<title>By: Her Grace</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5651</link>
		<dc:creator>Her Grace</dc:creator>
		<pubDate>Wed, 07 Oct 2009 22:12:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5651</guid>
		<description>In the U.S., the no fever thing is being completely ignored, but both Canada and Mexico reported a good number of cases without it.  It&#039;s hard to find any information, though.  Basically doctors here are saying no flu, no fever.

Just last night my cousin told me, &quot;Boy, if it weren&#039;t for no fever, I&#039;d think I have the flu.&quot;  She has cough, congestion, body aches, chills, severe fatigue.  Her husband had exactly the same thing.

Another friend ran a fever just for an afternoon - -about 100 degrees.  It&#039;s my suspicion these people have the flu, but since no one is testing, who knows?</description>
		<content:encoded><![CDATA[<p>In the U.S., the no fever thing is being completely ignored, but both Canada and Mexico reported a good number of cases without it.  It&#8217;s hard to find any information, though.  Basically doctors here are saying no flu, no fever.</p>
<p>Just last night my cousin told me, &#8220;Boy, if it weren&#8217;t for no fever, I&#8217;d think I have the flu.&#8221;  She has cough, congestion, body aches, chills, severe fatigue.  Her husband had exactly the same thing.</p>
<p>Another friend ran a fever just for an afternoon &#8211; -about 100 degrees.  It&#8217;s my suspicion these people have the flu, but since no one is testing, who knows?</p>
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		<title>By: Amy</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5650</link>
		<dc:creator>Amy</dc:creator>
		<pubDate>Wed, 07 Oct 2009 22:00:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5650</guid>
		<description>LOL...I love &quot;proactive paranoia.&quot; That&#039;s so great, and so accurate.

My daughter &lt;i&gt;did&lt;/i&gt; have 5-day bursts, and the break came b/c after the first burst, she improved slightly and seemed to be on the mend. When it became clear that she was flaring badly again, her ped. tried one more 5-day burst on the assumption that since she improved a little the first time, maybe she needed a little more help. 

5-day bursts are definitely pretty standard for kids b/c drs. don&#039;t want to overload their systems, but I don&#039;t know how common it is to do 2 in a row with a short break in between. In my daughter&#039;s case, she didn&#039;t seem that bad off when she started the second burst. If her symptoms had been worse (like they were by the END of that second burst--pulse ox had dropped, fluid on the x-rays, etc.), I imagine they would have admitted her to begin with, if that makes sense. She was 4 years-old at the time, btw.

As far as the fever goes, I&#039;ve never heard of H1N1 w/out it. Maybe someone else on here has?</description>
		<content:encoded><![CDATA[<p>LOL&#8230;I love &#8220;proactive paranoia.&#8221; That&#8217;s so great, and so accurate.</p>
<p>My daughter <i>did</i> have 5-day bursts, and the break came b/c after the first burst, she improved slightly and seemed to be on the mend. When it became clear that she was flaring badly again, her ped. tried one more 5-day burst on the assumption that since she improved a little the first time, maybe she needed a little more help. </p>
<p>5-day bursts are definitely pretty standard for kids b/c drs. don&#8217;t want to overload their systems, but I don&#8217;t know how common it is to do 2 in a row with a short break in between. In my daughter&#8217;s case, she didn&#8217;t seem that bad off when she started the second burst. If her symptoms had been worse (like they were by the END of that second burst&#8211;pulse ox had dropped, fluid on the x-rays, etc.), I imagine they would have admitted her to begin with, if that makes sense. She was 4 years-old at the time, btw.</p>
<p>As far as the fever goes, I&#8217;ve never heard of H1N1 w/out it. Maybe someone else on here has?</p>
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		<title>By: karen</title>
		<link>http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/comment-page-1/#comment-5648</link>
		<dc:creator>karen</dc:creator>
		<pubDate>Wed, 07 Oct 2009 20:33:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.theasthmamom.com/2009/10/06/tuesdays-are-your-turn-coping-with-swine-flu/#comment-5648</guid>
		<description>Thanks for all the info.  By short burst Amy do you mean a 5 day course?  Is the 4 days as your daughter had what is required so that it is not a continous dosage that would affect her immune system?  My son will finish his orapred Friday. If he goes back to school and get&#039;s h1n1 and is back to severe coughing he could not then be on it again until Wednesday?  If this is how it works then I think I will wait until Monday to send him back.  There is a confirmed case in his class and about 10% of the school is out. 

Which brings me to another question, has anyone read much about flu WITHOUT fever?  AB Ped commented this bug was similiar to H1N1 without the fever... then this erupts at school on Monday?  I read 1/3 of confirmed cases in Mexico had no fever but nothing has been said about this in US cases?

I have always been a read everything person, but after how many years of asthma (since 4m old) /food allergy (since he was 18m) issues this might be the year just to not read too much.  Thank you for clarifying EM, your interpretation makes sense, I just took it too literally at the time.  

It is really nice to get the opinions/hear of experiences of others here that have similar histories.  Many times friends and especially relatives that don&#039;t have these issues don&#039;t get the proactive parania that sometimes is standard operation procedure for some of us.</description>
		<content:encoded><![CDATA[<p>Thanks for all the info.  By short burst Amy do you mean a 5 day course?  Is the 4 days as your daughter had what is required so that it is not a continous dosage that would affect her immune system?  My son will finish his orapred Friday. If he goes back to school and get&#8217;s h1n1 and is back to severe coughing he could not then be on it again until Wednesday?  If this is how it works then I think I will wait until Monday to send him back.  There is a confirmed case in his class and about 10% of the school is out. </p>
<p>Which brings me to another question, has anyone read much about flu WITHOUT fever?  AB Ped commented this bug was similiar to H1N1 without the fever&#8230; then this erupts at school on Monday?  I read 1/3 of confirmed cases in Mexico had no fever but nothing has been said about this in US cases?</p>
<p>I have always been a read everything person, but after how many years of asthma (since 4m old) /food allergy (since he was 18m) issues this might be the year just to not read too much.  Thank you for clarifying EM, your interpretation makes sense, I just took it too literally at the time.  </p>
<p>It is really nice to get the opinions/hear of experiences of others here that have similar histories.  Many times friends and especially relatives that don&#8217;t have these issues don&#8217;t get the proactive parania that sometimes is standard operation procedure for some of us.</p>
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