Pneumonia and Dolphy

The other night as I was watching the evening news, I heard a teary-eyed famous actor explain how his even more famous celebrity father was battling his 11th bout of pneumonia.

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As a doctor, the first question I throw at the screen is…Was he vaccinated against pneumonia?

Pneumonia is the leading infectious disease killer worldwide.

Pneumonia is an infection of the lung. It may be caused by a bacteria, virus or fungi that live in the nose and mouth or from the external environment. The most common symptoms are cough, fever, chills and shortness of breath.

This infection can be treated easily by the use of antibiotics if caught early. The problem is when it is detected late.

Almost 34% of patients above 65 years old who have a bout of pneumonia will not survive due to cardiopulmonary complications.

Unfortunately, most elderly patients and the people around them do not recognize the symptoms early. By the time they are brought to the hospital, it is often too late.

Patients in their senior years have decreased immune response. When infection hits them, they do not respond with the usual fever, increased heart rate or erratic breathing pattern as younger patients do. The elderly patient may not have the energy to cough strongly or breath heavily. Their symptoms are often overlooked as merely a mild discomfort of the chest. Sometimes pneumonia in the elderly may present with only weakness or lethargy. No cough at all.

The most recent guidelines for the management of pneumonia from several international and local thoracic and pulmonary societies all agree on three key aspects to prevent pneumonia and its deadly complications:

1. Stop smoking. Stay away from people who smoke. Second-hand smoke is even worst than smoking yourself.

2. Get a yearly influenza vaccination. Fluarix from GlaxoSmithKline costs P595.00 per shot.

3. Get a Pneumococcal vaccine every 5 years. Merck Sharpe & Dohme offers Pneumovax23 at P700.00 per shot.

The following are the criteria for patients who need a pneumonia vaccine:

a. persons 65 years old and above

b. smokers

c. patients with Chonic Obstructive Pulmonary Disease

d. asthmatics

e. patients on chemotherapy

f. cancer survivors

g. living or working in high risk environments

Bring grandma to the doctor even for the slightest of symptoms. It can save her life.

Doc D Signature
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