Influenza and the Emergency Department

Warning, highly individual opinion to follow (typed in at 0400 in the morning after three weeks of this!)

DON'T GO TO THE ER!

Okay, maybe I'm just joking, but only a little. Unless you are truly dying (and not just thinking you are) do not go to the ED (Emergency Department.) Number one, we can't get to you; number two, if you don't have the flu, you will after sitting there for hours waiting to be seen, surrounded by sufferers of the flu. Even face masks provide scant protection in the crowded waiting room.

In the area where I work (seven hospitals around here) most of the ED's are in gridlock. We can't move patients to the floors because they are full or have reduced staffing due to the nationwide nursing shortage; since we can't free up the beds in the ED, we are reduced to seeing a handful of patients at a time on the hall stretchers, in between the usual number of codes (dying or dead people) and car accidents and nursing home transfers, etc. This overloads the already overworked nurses (no, I'm not a nurse) who are dealing with inpatients that shouldn't be there, as well as the acutely ill. I know you feel like a walking corpse -- I've had influenza before myself -- but, unless you have some serious complication or underlying condition, you'll survive. Save yourself hours (around here 8-10 hour waits are routine these last few weeks) of misery and exposure to other contagions and stay home.

Call your boss, tell him the situation. Sending employees to the ED regularly to get work excuses during a flu season is cruel, unnecessary, and expensive (adding to the company cost of healthcare, remind her.) Going to work sick is not loyal, it's stupid. You'll make everyone else ill and the company will lose still more work time. Stay home, drink those fluids, dose yourself with ibuprofen or acetaminophen (if the fever returns before it's time for more acetaminophen, alternate between the two -- ibuprofen's better for the achiness anyway), get some soup into you, wash your hands religiously, and avoid contaminating the other members of your family or tribe. Nyquil really does help (just remember it has acetaminophen in it.) If you have a family doctor, they may be able to call something in for you.

If you develope more serious symtoms -- a cough with yellow or green phlegm production, chest pain, severe shortness of breath, or vomiting and unable to keep down fluids, certainly you may need to brave the crowds. But, bring a novel.