Centered on Health 6-26-25 - Answering questions, concerns about vaccines with Dr. Angela Sandlin.
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Speaker 1 (00:01):
It's now time for Centered on Health with Baptists Help
on use Radio.
Speaker 2 (00:05):
Wait forty te wy JS.
Speaker 3 (00:07):
Now here's doctor Jeff Tumbler.
Speaker 1 (00:11):
Good evening, everyone, and welcome to tonight's episode of Centered
on Health with Baptist Health here on news radio eight
forty WJAS. I am your host, doctor Jeff Tomlin, and
we're joined from the studio by our producer, mister Jim Fenn.
He's available to take your calls to join our conversation tonight,
which we are talking and answering questions about vaccinations. Our
(00:32):
phone number is five oh two five seven one eight
four eighty four five oh two, five seven to one
eight four eight four. And this is a very timely
topic about vaccinations. It's been all over the news. It's
it's being evaluated every day about the importance of vaccinations.
So we're extremely lucky to have our guests tonight. But
(00:52):
the CDC states that between the years of twenty twenty
and twenty twenty three, forty one million illnesses from the
flu in fifty one thousand deaths, and another one RSV,
which we're going to be talking about tonight, is responsible
for one hundred and sixty thousand hospitalizations and adults over
the age of sixty. And I know all of my
listeners have wondered where she's been. We've been giving her
(01:14):
a little a little bit of a break, but she
is back. Doctor Angela Sandlin is the director of our
outpatient pharmacy Services and Fusion Centers. She runs the pharmacy
at Lagrange, and tonight we're talking to her about the
importance of vaccines. Welcome home, I mean welcome back, doctor Sandlin.
Speaker 2 (01:32):
Hi, Doctor Tuvlan. So nice to be back with you
after a little bit of a break. I missed you, guys,
and I'm glad to be here to talk about one
of my favorite subjects, which is vaccines. They're so important.
You're exactly correct. It's been in the news a lot lately,
what's going on with vaccines, and I think this is
a great time to talk about the importance of vaccines
and the things that it can do to protect us
(01:53):
and protect ourselves and then protect each other with her community.
Speaker 1 (01:57):
Well, and that's a term I'm going to want to
hear about later. But I just want to open the
show with for those people who might be listening who
may not be quite aware of all the services that
are provided. Why are we talking to a pharmacist about vaccinations.
Speaker 2 (02:13):
Pharmacists are a great source of vaccine information and the
vaccines themselves. At our community pharmacies that Baptist has, for example,
and at community pharmacies throughout the Kentuckyana area and throughout
the United States, you can get vaccines as part of
a visit to a local pharmacy. Some have appointments, some
(02:34):
do not require appointments, but they can certainly take care
of your vaccine health. And it's so good for pharmacy
to be a resource because that is a very accessible
resource for everyone. Maybe you don't have time to maybe
all the time make a visit in and make those
kind of plants, but you can come by the pharmacy
and talk about vaccines, understand what's the best one and
(02:54):
for you, and have the vaccines given right there in
a lot of pharmacies, and we're glad to do that.
We rather prevent an illness than treat it, and if
we can sure do that with vaccines, we're lucky with
vaccines that there's many diseases we can prevent.
Speaker 1 (03:09):
So that really opens the door to the question of
help us understand you know what actually is a vaccine.
When we come to our primary care, we come to
you and we get a vaccine. What are we getting.
Speaker 2 (03:23):
What we are getting is And that's a question I
get sometimes from folks wondering if if it's a vaccine.
It's a part of a virus or bacteria that stimulates
your immune response to It's kind of like an early
warning signal that helps build immunity. It helps your body
(03:44):
to recognize that if you were to get that illness.
So it's a part of a particle or a protein
or something, but it can't make you sick. It can't
make you sick with the illness because it's either inactivated
or it's a tiny part of that organism, or for
some reason that we've it's been treated. It's been treated
so that it cannot make you sick with that illness.
(04:05):
But it makes the body think in the immune response, oh,
I have this illness, and it will develop not only
immunity to fight that at the moment, but we'll remember
what that illness, what that stimulus was, and then if
you are exposed to the actual bacteria or virus, it
(04:26):
will amount that immune response much much faster and will
actually prevent you from getting the sickness the illness in
many cases.
Speaker 1 (04:36):
And we all know people who and we might talk
about flu specifically, but in general, we know people who
have gotten certain vaccines and still gotten diseases, Like they've
got the flu shop but they still got the flu.
Does that mean that the vaccine didn't work or does
that mean that in the future they shouldn't get one?
Speaker 2 (04:54):
You know what, that's that's a fantastic question, and I
get that one. I get that question a lot too. No,
it doesn't mean necessarily that the vaccine didn't work. There's
so many factors that go into for example, a flu vaccine.
The virus that causes flu, that virus is constantly mutating
and changing and changing those proteins. They're pretty clever for
(05:17):
something that doesn't have a brain. They're able to mutate,
and we have to keep changing the vaccine to match that. Well.
Those predictions of what kinds of what strains of flu
will be coming to us, those predictions have to be
made in say February, for the flu season in the fall,
So the World Health Organization and others put together all
(05:39):
kinds of data of what's going on, what strains are
most likely to be causing flu in the fall, and
we have to just make that decision in February so
that we can get the vaccine. It's pretty long processed
to make that vaccine, so it takes a long time
to prepare it. So that's the best we can to
(06:00):
predict what strains are going to be causing flu this year.
So you may miss. We may miss that prediction sometimes,
so that may be a reason why it didn't work,
but it will if you get a flu vaccine, and
even if it isn't a perfect match to the strain,
you will often have a very much less serious flu
illness than you would get if you didn't have the
(06:21):
vaccine because there will be some immunity there. And then
people are individuals if they got the vaccine, but they
have a poor immune response, either because you know, they
just naturally don't or as we get older, sometimes we
don't have as good immunity, and so that will affect
how you respond to the vaccine. So there's a lot
of things at play, but it and nothing in medicine,
(06:42):
as you know, is guaranteed. But I can tell you
that those predicting that is difficult, but that it definitely
is worth doing because flu kills, influenza kills, as you
mentioned earlier, we're.
Speaker 1 (06:55):
Mention and as far as the ingredients that are in
a vaccine are people can people be allergic to it?
I hear about egg allergy, like, what should we know
about the ingredients that go in?
Speaker 2 (07:09):
That's interesting because there are some that are incubated in
egg protein. However, very most of that is extracted out
and does not end up in the vaccine itself. Is
there a small chance? Yes? However, the CDC is now
saying that most people can still get a vaccine that
(07:30):
has that was incubated in egg as long as they
didn't have a severe life threatening allergy two eggs. So
there are folks that can take it and be fine.
That's something you would talk to your doctor or your
pharmacist about and tell them what that reaction was, and
they can help you choose. And there are vaccines. Many
of the vaccines are available, for example mRNA vaccines that
(07:53):
were not incubated in eggs. So there's options for people
that had a severe life threatening allergy to eggs or
to some other component. You said, hey, what else is
in them? So there's eggs, Sometimes there's preservatives, sometimes there
are other things in there that you might have an
allergy to. It's pretty rare, but if you've had a
severe reaction to a vaccine, then in general we want
to have a conversation about whether you should get that
(08:15):
vaccine again or not. It depends on what that reaction was.
But most of the time, yeah, you could expect a
sore arm or a little bit of redness or something
like that that goes away. You might feel a little
We always say if you feel a little bit bad
after you get a vaccine, it is part of the
indication that's working. So you're not necessarily you're not having
(08:35):
an allergic reaction. You're just your body's mounting that immune response.
Speaker 1 (08:40):
Well, we are learning so much about vaccines. We're talking
with doctor Angelas Sandlin. We're going to talk a little
bit more about vaccines in general when we come back,
and then get into some of the specific vaccinations we
should be thinking about. You are listening to Center It
On Health with Baptist Health here on news Radio eight
forty whas. I'm your host, doctor Jeff Tavlin, And like
I said, we're with doctor Angela Sandlan tonight. Our phone
(09:02):
number five oh two five seven one, eight four eight four.
If you've got questions about vaccinations or anything the pharmacists
can do for.
Speaker 3 (09:09):
You, give us a.
Speaker 1 (09:10):
Call and we will see you after the break. Welcome
back to Centered on Health with bout This Health here
(09:31):
on news radio eight forty whas. I'm your host, doctor
Jeff Talblin, and tonight we're talking with doctor Angela Sandlin
about the importance of vaccinations and answering questions about vaccines
or the benefit of using your pharmacist for help. Our
phone number is five oh two, five seven one, eight
four eight four. Our producer, mister Jim Fenn is on
(09:52):
standby ready to take your calls. And before we went
to the break, we were learning about vaccines and Salem.
You mentioned a couple of things. I just wanted to
ask a couple follow up questions. On the first is
you talked a lot about the role of the immune system,
which is so important. So are there patients out there
that might might not be appropriate for a vaccine because
(10:16):
of their immune status?
Speaker 2 (10:19):
You know they sometimes you don't get as good of
a response if your immune simp system is compromised, but
it's still important to get you.
Speaker 1 (10:33):
Welcome back to Center It on Health with Baptists Health
here on news radio eight forty whas. I'm your host,
doctor Jeff Tublin, and we've been talking with doctor Angela
Sandlin tonight about vaccinations. We had a brief interruption of
our conversation, but we are back and we have doctor Sanlin,
and she is here to take your calls. Five oh two,
(10:54):
five seven one, eight four eighty four, And we have
a caller on the line for you to doctor Sandlin
a question about vaccinations and possible scarring of the skin.
So you're on Centered on Health. Miles.
Speaker 2 (11:09):
Hello, how are you well, chum? How are you hello?
I'm great, Thank you, thanks for calling in. What was
your question?
Speaker 1 (11:19):
Oh?
Speaker 3 (11:19):
My question? Well, well, first of all, I have to
stop this doctor Sanlin. This is Greg. How are you well.
Speaker 2 (11:25):
I'm doing well. Thank you.
Speaker 3 (11:28):
Nice to hear you again.
Speaker 2 (11:29):
It's been quite a while unli likewise, and it's nice
to hear from you as well.
Speaker 3 (11:34):
Thank you, thank you. I do have two questions. One
has to do with vaccines and scarring. My aunt had
a giant scar on her left deltoid area, probably about
oh three inches in diameter. From the time I was
I can always remember her with that, that's my first question.
What in vaccines would cause something like that.
Speaker 2 (11:56):
That's so interesting you should ask, because that it was
a smallpox vaccine and it was given smallpox. In fact,
was the first vaccine that was developed by doctor edber Jenner,
was the smallpox vaccine. And it smallpox used to kill
so many people. It was so deadly, and in the
United States, a concerted effort was made to use this
(12:19):
vaccine and it was given to folks until about nineteen
seventy two. And it was a different kind of vaccine.
It was given by a different method. It was called
an intradermal vaccine. So unlike the ones where you get
the vaccine and it's into the muscle, was a little
needle that goes into the muscle. This was an intradermal
vaccine for this smallpox. And they used a needle that
(12:41):
had what they call bifurcated. It had little tongs, little
tins on it, and it was given by poking the
skin and getting into that dermis right below the first
layer of skin and stimulating the immune response to the
organism with a vaccine that way, And what would happen
was the body would mount that response and it would
(13:03):
a soar would develop and it would generally be like
a pustule and it would rise up and that would
be the body developing that fighting that vaccine to mounting
that immune response, but it would create that scar. So
absolutely that's what your aunt most likely had. That was
if you see those folks that have that scar on
their shoulder right below their shoulder in their deltoid area,
(13:26):
that is a smallpox vaccine. And that went on until
about nineteen seventy two. So if you see that in
the United States on someone's arm, you see that little
indentation that's just scarring left from tissue healing where that
intradermal injection was given. But you can always tell about
how old a person must be, at least fifty three.
Then if you think about it that way, we stopped
(13:46):
getting that you United States in about nineteen seventy two,
and in fact, the World Health Organization declared small pox
to be completely eradicated from the planet in about nineteen eighty.
And that was a wonderful thing that as a result
of a vaccine, is that we actually eradicated it. Now,
could it come back? Yes, you know there is some
(14:07):
in laboratories that are, there's a couple of laboratories that
have smallpox. That's where it's studied. And if that should
happen to be inadvertently released or whatever, you know, smallpox
could reappear. But for the it's no longer the vaccine
is no longer given in this country because small pox
has been eradicated, So you don't really see the vaccine
(14:27):
given out there normally at all. So it's kind of
interesting you should ask. Yes, most vaccines don't leave a
scar like that at all. Right. I will tell you
too that in some other countries tuberculosis has to be
vaccinated before because it's much more common than it is
here in the United States, and that vaccine for tuberculosis,
(14:48):
called BCG, is given the same kind of way, and
it will lead to the same kind of scar. So
if you see someone that's not from the United States
and have that, it's possible, or if someone's in the military,
sometimes they'll get it if they're being in a region
work toberculosis is more common and it can make that
same kind of scar. So we certainly can't diagnose whether
(15:08):
someone's had the vaccine based on that. But that's what
you saw, that's what your aunt has and a lot
of people have that.
Speaker 1 (15:15):
Doctor Sandlin. So, but the ones that you know, most
of our listeners are most familiar with flu, pneumonia, covid,
RSV shingles. Those don't leave marks like that, correct.
Speaker 2 (15:26):
No, they don't, not at all. They're given in the muscle,
and it will make it's a weave, a very thin needle,
and it goes right into the muscle, and we can
give that pretty painlessly, and your arm might be sore
for a little while, but maybe a day or so,
and then you we will not have a scar from
that at all. No, you might just have a little
bit of shore you gave me. So I know that
(15:50):
you're telling you you're exactly right. It didn't hurt a bit,
did it not at all?
Speaker 1 (15:55):
So, Greg, I think you said you might have had
two questions.
Speaker 3 (16:00):
Yes, yeah, it was absolutely.
Speaker 2 (16:08):
They say I'm a good vaccine giver, So that's good,
and I'm I'm proud of you for you guys, for
getting vaccines and practicing what you preach. So I think
that's wonderful. It's great, and you know you protect There
are a few people that can't get a vaccine for
some reason. Maybe they're in the middle of your chemotherapy,
(16:29):
or for some reason just can't get certain vaccines at
the time and you're protecting them, or maybe if somehow
they didn't have the opportunity to get a vaccine. The
more people that are vaccinated, that leads to her immunity,
which means that the vaccine can't travel from person to
person because people are vaccinated, so it basically dive out.
(16:52):
And that's how we got rid of smallpox. So many
people got vaccinated that even the ones that couldn't get
vaccinated or didn't weren't exposed to it. So that's just
why it's so important not only for the person, but
for your community to get vaccinated. So that those are
great questions.
Speaker 1 (17:08):
And Greg, I know you had a question, but before
we get to that, so Doctor Salalin, what you just
said I think is worth expanding on just a little
bit because a lot of times what I hear is
somebody will say that they are pretty healthy. So if
they were to get the flu, or they were to
get something that they didn't want to get a vaccination
for that they would do quote okay, that they wouldn't
(17:31):
get terribly sick because they're healthy. But I think you
just made a really good point about sometimes getting the
vaccination is not just protecting yourself, but it's really protecting
our whole community.
Speaker 2 (17:40):
That's right, it's not just about you. So we had
a patient come here with asking about the RSP, the
respiratory syn social virus, and she said, oh, someone, I
heard someone say that I needed this, but I thought
that was only for little babies. Well, it is for
babies because they're vulnerable, but oulation two, depending on age
(18:02):
and other medical conditions you might have, makes you a
well to not only protect a baby, but to protect yourself,
because it works both ways. So the herd immunity protects
your community, the vaccine protects yourself. So it's just it's
not important just for you, but it is. It's important
to not give that to a baby. And that's why
(18:23):
we're so careful about making sure that our expectant mothers
are vaccinated so that they don't trans to have as
much chance of transmitting an illness to their baby, or
being around a baby when they have the illness and
transmitting something like RSV to a newborn baby, in which
it can be very dangerous. And people say, oh, I'll
just get I'll just get measles. If I get measles,
(18:44):
you know, I think I can finde it off. But
then there's those people, those you could be, even of
those seemingly healthy people that ends up with if you
don't die of it, you could have encephalitis, you could
have a brain injury. You know, something else could occur.
You don't know. And a vaccine is such a low
risk thing to do that the benefits greatly exceed the risk.
(19:07):
There's no doubt that it's safe life. My grandfather, you know,
you talk about flu. My grandfather was in the army
in World War One and he nearly died of influenza
the nineteen eighteen flu I wouldn't have been here.
Speaker 1 (19:24):
Yeah, I'm glad that you described the herd immunity thing
because I think we heard a lot about that during
during COVID and kind of explaining what that concept is.
But Greg, I think you're still with us, and if
you had another question, we're happy to have doctor Samlin
try and answer it.
Speaker 3 (19:40):
Oh great, I'll always love talking to doctor Stamm.
Speaker 2 (19:43):
She's the best, and to her, well, I would love that.
But while was her.
Speaker 3 (19:50):
Question, as I was waiting for the show to come
on at seven o'clock they were having the top of
the hour news break and one of the topics they
and stories they mentioned was apparently there was something today
about the CDC Advisory Committee and discussing flu vaccines and
the additive style.
Speaker 2 (20:11):
Marisol and whether or not there was time the preservative
in them.
Speaker 3 (20:18):
Right, is this really a thing or is this just
more of a to do about it?
Speaker 2 (20:25):
It is a do about nothing that most of those
don't even contain thymerisol anyway, the flu vaccine, and it
is not associated with any ill effects such as you
know they're in nineteen ninety eight, I believe it was
there was a small paper by a British someone in
Great Britain that said there might be an association between
(20:47):
thy marisol and autism or some other kinds of problems.
That has been completely debunked, but it's one of those
things that persists and you hear it popping up again.
There is a well, there could be a risk of
an allergic reaction to a vaccine, a small risk, though
it is. There could be a risk of you and
you're going to have the arm soreness and muscle soreness,
(21:09):
or just feel a little under the weather. For a
day or so. But the benefits of these vaccines are
so much greater. It benefits to you and to your
community that know, it is much to ado about nothing.
Most of them don't even have thy marisol in them
at all now, And we have so many different presentations
that you can work with your pharmacist or your doctor
(21:30):
and find one that is perfect for you, even if
you have allergies. So yeah, I we can help you.
You don't. You don't have to avoid a vaccine because
of that. There's almost always something we can do.
Speaker 1 (21:42):
Right, Well, thank you, Are there any of those questions?
Do you have another question?
Speaker 3 (21:48):
Well, you're very you are very welcome. I can save
my question for next week when doctor Stanmler will be
on again, hopefully.
Speaker 2 (21:55):
Well, thank you, Brad.
Speaker 1 (21:56):
As always, so doctor said, let's let's let's go into
a vaccine that I don't know that we talk about
all that much because I think we always start with
flu and we go into shingles and those are all
super important, but we don't talk about the pneumonia shot
that much. So to talk a little bit about where
where are we with pneumonia shots? I get very confused
(22:17):
about which shot is out there? And who needs to
get in at the different type. So talk to us
a little bit about the pneumonia shot.
Speaker 2 (22:24):
It is getting so confusing, And in fact, I had
a question a couple of days ago about that New
macaccle disease is another serious bacterial disease that can cause
much illness, hospitalizations, and death. And it is particularly dangerous
for the very young and the very old and those
people whose immune system isn't what it should be. But
(22:48):
it is important for everyone again, just like we talked
about to help yourself and to help your community. So
there's strip pneumonia is the organism that causes this, and
there's many different what we call serotypes, many different strains,
if you will. And what happened was we had an
older vaccine called the PTSV, the New Macacco polypacharide, that
(23:13):
was the first original new maccaccol vaccine, and it at
one point had twenty three of these different sero types
that were known to cause illness, caused new macacca disease,
invasive new miccaca disease mean very serious. And we had
that vaccine at the same time children. It didn't work
in children, so we developed a different type, a different
(23:36):
presentation of the vaccine called the polysaccharide vasaucio polysacharide, but
a conjugate and all that to say that it helped
children keep from getting new maccaca disease. But it had
a special benefit of protecting the mucosa and by that
I mean inside the nose. It had a protective immunity there.
(23:59):
And guess what for those types of thirteen zero types
or the thirteen strains, it did such a good job
of not spreading pneumonia to adults from children that were
carrying it that those became no problem anymore. But unfortunately,
like I said, these viruses are clever, and more strains
(24:22):
took their place. So we are constantly changing the vaccine,
adding different strains. We do a lot of testing determine
which strains are causing illness in adults and in children,
and we're really trying to keep ahead and keep up
with it. So there have been right now, there are
new Macawcle fifteen. There's a of the adult vaccines, there's
(24:45):
a fifteen, there's twenty, and there's twenty one and the
most recent one has twenty one strains twenty one zero
types to protect you. So if in some cases, if
you've had one of the older vaccines, one of the
older new maccaco vaccines, or even a combination of two
(25:07):
of the previous vaccines, it's recommended to get this newer vaccine,
but there is a time period that you need to
wait depending on This is where your doctor and your
pharmacists can help you determine what you need and win.
The twenty one and the twenty are the two that
are recommended now, and sometimes you just whichever one you
can get. The twenty one valent or the twenty one
(25:30):
strain vaccine Newmiccaco vaccine is most has the best combination
of strains that are causing new macacle. You know it's
dangerous new maccacle disease. But the twenty is also really good.
So either of those are recommended right now. And if
(25:51):
you've had one of the older combinations at some point
between one and five years and it depends, i'd have
to talk to you about this what you specifically have
ad you would need another vaccine with one of the
newer ones. So all that to say, if you don't
know what it is, we can help you find out
what it is and see when you got it and
decide when you need another vaccine to protect you from
(26:13):
what's now out there, and once.
Speaker 1 (26:17):
You're caught up to kind of the most up to
date one that is right for you as an individual,
how often should you get a pneumonia about it.
Speaker 2 (26:28):
That's a great question too, because technically we don't recommend
the vaccine. Experts do not recommend getting a revaccination, but
we also know that those strains are changing, and we
also know that we are we have to test people
and see how long that immunity lasts. So there are
some experts that think you should be re vaccinated after
(26:48):
say five to ten years, but that, just like you'll
say about RSV and some of the other vaccines, that
remains to be seen. So it's so important to have
that relationship with your doctor and have a pharmacist that
you can work with so they can keep you abreast
of what you might need and give you those reminders, Hey,
maybe you do need another vaccine. So you've got to
stay plugged in. You've got to take some participation in
(27:09):
your own health, and we can help you decide when
it's time to get another vaccine. Great question, because right now,
you don't just say you like every year, Like you
need a flu vaccine every year. You don't need a
new maccawcle vaccine every year, but there might be a
time when you need another one, depending on how the
strains evolve and depending on what we find out about immunity.
Speaker 1 (27:32):
Well, we are talking with doctor Angela Sandlin about vaccinations.
Always learning tons of information about where we are and
keeping us up to date. We're going to take a
break right here, and I want to remind everybody that
you are listening to Centered on Health with Baptist Health
here on news radio eight forty WAHS. I'm your host,
doctor Jeff Tavlin, and as mentioned, we're talking with doctor
Angelas Sandlin about vaccinations. If you've missed tonight's show, we
(27:55):
want to hear all of the rest of it back
in its entirety. Download the iHeartRadio app. You can have
access to all the information.
Speaker 2 (28:02):
We'll be with that.
Speaker 1 (28:17):
Welcome back to Center It on Health with that just help.
Here on news radio eight forty WHAS. I'm your host,
doctor jeffs Helman. We're talking tonight to doctor Angela Sandlin
about vaccinations. Remember to download the iHeartRadio app to listen
to this or any of our previous segments and to
have access to all the features that the app has
to offer. So, Doctor Salmon, I want to talk about
(28:38):
a couple of vaccinations that we don't talk about a lot.
Some everybody's heard of the term tetanus and a tetanus shot,
But what is tetanus and why do we need a shot?
Speaker 2 (28:53):
You know, tetanus has been around forever and it is
something that can again cause serious illness, and it's it's
combined many times with two other types of vaccinations to
other tones of vaccinations in there, which would be diphtheria
and protestis. And I know we've heard about the resurgence
(29:14):
in protests which is also known as whooping cough. And
that's why this absolutely and so that has been such
a threat in children that I think it's brought to
the forefront being sure that you are vaccinated against tetanus,
and your immunity to that, even if you had that
vaccine wanes throughout life, and you really need a tetanus
(29:37):
booster every ten years. And I know you might think, well,
I'm not outside that much. You know that you always
hear about somebody stepping on a nail like that, But
there's you never know when something like that is going
to happen, and it can be very serious. Any kind
of open wound where there's tetanus or the causation can
(30:00):
live in the dirt forever for a very long time.
So getting a wound or a scrape or something that's
where you've been out in anywhere you're around dirt can
be dangerous. And then the fact that it's combined with diphtheria,
and we've been called make it's so important because if
we've talked about not just protecting yourself, but protecting other people,
small children and people that are immuno compromised and that
(30:22):
are elderly, so much more serious in them and especially
in children. So it's important to protect yourself and protect others.
And a lot of times you will get that in
a combination. You'll either get tetanus, diphtheria every ten years
or if that isn't available for whatever reason, or also
to get that protection with the protessis you would get
(30:44):
all three in one simple vaccine and that should be
done every ten years. And we're just finding that people
forget about it, and I'm guilty myself. I realized that
it had been more than ten years since I'd had one,
and you really need to be protected. So I've taken
care of it. But it's just super important to get
those to get those vaccines because it protects you in
(31:06):
ways you think, oh, well, nothing would happen. I'll never that,
will nothing whatever happen to me where I would get
injured and might risk tennis. But yes it can, whether
it's you know, Heaven forbid, you'd be in a car accident,
or you fall, or you just don't know what kinds
of things. Any kind of open wound needs to be
evaluated to make sure that you up to date on tetanus,
(31:27):
because if you're not, you know, you can lead to
all other kinds of problems. And if we're seeing you
in our emergency department and you have a wound like that,
that's going to be something that we are going to
look at very closely to see when your life vaccination
was and do you need a booster, do you need
in fact the immune globul And sometimes in certain kinds
of injuries, we'll give you both the tetanus booster and
(31:49):
the immune globulin to fight off the danger that you
might already have been exposed to tetanus. So it's it's
something that gets overlooked and forgotten. And I think the
CDC has been saying that community to it is waning
and people are not getting vaccinated, which is sad because
it's readily available and it's it's highly work, you know,
it's it's something you need to get every ten years.
Speaker 1 (32:10):
Absolutely, And we talked and you mentioned how serious protessis
can be, but tetanus is no joke either.
Speaker 2 (32:16):
It's you actually get absolutely, absolutely so super important to
keep that up. And like I said, I'm just glad
that you're asking about it because it remind everybody in
our in our listing area to think about that, when
did I get it? When did I get a tetanus booster?
How long has it been? And again, we can help
you with that. Your doctor can help you with that,
pharmacies can help you with that. With that vaccine, just
(32:38):
to make sure you're up to date, you're maximally protected
against tetanus, diphtheria, looking cough, and you're protecting other people too.
Speaker 1 (32:47):
Fantastic. And one of the things as a pharmacist, I
would be curious to hear your take on is is
tama flu we hear a lot. You know, we talk
a lot about the flu. We've talked about that. I
could ask you a zillion more questions about that, But
one of the questions that even I want to know is,
you know, at what point can you get tamil flu,
(33:08):
who can get it? And when is it too late
to get tamil flu.
Speaker 2 (33:12):
You know, information on that is evolving because it's that
has expanded a bit in the times to get it.
Tammi flu is one of that is one of the
viral illnesses that we can actually treat with an oral medication,
so it is available to folks. And I will tell
you too that sometimes in the past flu seasons, it's
(33:34):
become in very short supply, and in those instances we
sometimes have to make decisions about an provider or a
physician will make a decision about who is most at
risk of danger from having the flu causing that problem,
you know, causing severe flu, and they will actually have
(33:54):
to make a decision over whether it's indicated for that
person depending on risk. But as far as giving the
tammy flu and whether you would say if you were
diagnosed with flu, and that's sometimes it's hard to tell
when you really do if is it flu or is
it something else? But it's important. The sooner you can
(34:14):
start to tammy flu, the better off you would be,
you know, the better off you would be able to
fight the virus off and have a less severe course
of flu. And you know you can't you can't stop
it once you have it, but it caused a very
much less severe disease, and it can even in some people.
(34:35):
There is a preventative dose that can be given now
that would be based on what your risk factors are
and if you're you know a lot of other things,
but it can be given as a preventative. But the
sooner it's given when you found out that you have
the flu, the better off you are in taking it.
But we're finding that it is you know that even
(34:57):
a little bit later in the course it's still can
be valuable.
Speaker 1 (35:03):
Well, we have about a minute left and I just
wanted to get your inputs for our listeners on when
is the optimal time to get your flu shot? Is
it when is it too late? And if you get
it too early in the year, do you have to
get it again or does it last the whole season.
Speaker 2 (35:19):
The CDC and the Advatorie Council on Immunization Practices, So
that's the arm of the CDC that makes these recommendations.
Says October is optimal. Near the end of October is optimal.
In general. They say, if you get the flu vaccine
as soon as it's available, that is another possibility because
(35:41):
they want you to not is there afraid that if
you put it off, you won't do it. So I
like October, but it generally comes out. We start getting
it in our pharmacies around actually get around September, which
is fine if that's if you couldn't get it at
another time, it would be important to go go ahead
and get get vaccinated when you can do it, but
(36:03):
it's important just to get it done and know it
is really within the season. It is never too late.
We have seen flu. You think you're not going to
have a bad season, and it's March and you think,
oh we've gotten through it, and then it'll show up.
So it's never too late. Within that season into March
would still be okay.
Speaker 1 (36:23):
But thank you.
Speaker 2 (36:24):
After that, it's the next one.
Speaker 1 (36:26):
Fantastic. Well, that music tells us that we have to
take a break, even though you and I never want
to stop talking but thank you again, doctor Salmin. This
is going to wrap it up for another segment of
Centered on Health with Baptist Health. I'm your host, doctor
Jeff Tublin, and as always, I want to thank doctor
Salmon for sharing with us her best knowledge of information
about the pharmacy and tonight vaccinations. I want to thank
(36:48):
our producervice to Jim Fenn and of course all of
you the listeners. Join us every Thursday night for another
segment of Centered on Health, Have a great week and
a great weekend. Program is for informational purposes only and
should not be relied upon as medical advice. The content
of this program is not intended to be a substitute
for professional medical advice, diagnosis, or treatment. This show is
(37:11):
not designed to replace the physician's medical assessment and medical judgment.
Always seek the advice of your physician with any questions
or concerns you may.
Speaker 2 (37:20):
Have related to your personal health or regarding specific medical conditions.
To find a Baptist Health provider, please visit Baptistealth dot
com
It's now time for Centered on Health with Baptists Help
on use Radio.
Speaker 2 (00:05):
Wait forty te wy JS.
Speaker 3 (00:07):
Now here's doctor Jeff Tumbler.
Speaker 1 (00:11):
Good evening, everyone, and welcome to tonight's episode of Centered
on Health with Baptist Health here on news radio eight
forty WJAS. I am your host, doctor Jeff Tomlin, and
we're joined from the studio by our producer, mister Jim Fenn.
He's available to take your calls to join our conversation tonight,
which we are talking and answering questions about vaccinations. Our
(00:32):
phone number is five oh two five seven one eight
four eighty four five oh two, five seven to one
eight four eight four. And this is a very timely
topic about vaccinations. It's been all over the news. It's
it's being evaluated every day about the importance of vaccinations.
So we're extremely lucky to have our guests tonight. But
(00:52):
the CDC states that between the years of twenty twenty
and twenty twenty three, forty one million illnesses from the
flu in fifty one thousand deaths, and another one RSV,
which we're going to be talking about tonight, is responsible
for one hundred and sixty thousand hospitalizations and adults over
the age of sixty. And I know all of my
listeners have wondered where she's been. We've been giving her
(01:14):
a little a little bit of a break, but she
is back. Doctor Angela Sandlin is the director of our
outpatient pharmacy Services and Fusion Centers. She runs the pharmacy
at Lagrange, and tonight we're talking to her about the
importance of vaccines. Welcome home, I mean welcome back, doctor Sandlin.
Speaker 2 (01:32):
Hi, Doctor Tuvlan. So nice to be back with you
after a little bit of a break. I missed you, guys,
and I'm glad to be here to talk about one
of my favorite subjects, which is vaccines. They're so important.
You're exactly correct. It's been in the news a lot lately,
what's going on with vaccines, and I think this is
a great time to talk about the importance of vaccines
and the things that it can do to protect us
(01:53):
and protect ourselves and then protect each other with her community.
Speaker 1 (01:57):
Well, and that's a term I'm going to want to
hear about later. But I just want to open the
show with for those people who might be listening who
may not be quite aware of all the services that
are provided. Why are we talking to a pharmacist about vaccinations.
Speaker 2 (02:13):
Pharmacists are a great source of vaccine information and the
vaccines themselves. At our community pharmacies that Baptist has, for example,
and at community pharmacies throughout the Kentuckyana area and throughout
the United States, you can get vaccines as part of
a visit to a local pharmacy. Some have appointments, some
(02:34):
do not require appointments, but they can certainly take care
of your vaccine health. And it's so good for pharmacy
to be a resource because that is a very accessible
resource for everyone. Maybe you don't have time to maybe
all the time make a visit in and make those
kind of plants, but you can come by the pharmacy
and talk about vaccines, understand what's the best one and
(02:54):
for you, and have the vaccines given right there in
a lot of pharmacies, and we're glad to do that.
We rather prevent an illness than treat it, and if
we can sure do that with vaccines, we're lucky with
vaccines that there's many diseases we can prevent.
Speaker 1 (03:09):
So that really opens the door to the question of
help us understand you know what actually is a vaccine.
When we come to our primary care, we come to
you and we get a vaccine. What are we getting.
Speaker 2 (03:23):
What we are getting is And that's a question I
get sometimes from folks wondering if if it's a vaccine.
It's a part of a virus or bacteria that stimulates
your immune response to It's kind of like an early
warning signal that helps build immunity. It helps your body
(03:44):
to recognize that if you were to get that illness.
So it's a part of a particle or a protein
or something, but it can't make you sick. It can't
make you sick with the illness because it's either inactivated
or it's a tiny part of that organism, or for
some reason that we've it's been treated. It's been treated
so that it cannot make you sick with that illness.
(04:05):
But it makes the body think in the immune response, oh,
I have this illness, and it will develop not only
immunity to fight that at the moment, but we'll remember
what that illness, what that stimulus was, and then if
you are exposed to the actual bacteria or virus, it
(04:26):
will amount that immune response much much faster and will
actually prevent you from getting the sickness the illness in
many cases.
Speaker 1 (04:36):
And we all know people who and we might talk
about flu specifically, but in general, we know people who
have gotten certain vaccines and still gotten diseases, Like they've
got the flu shop but they still got the flu.
Does that mean that the vaccine didn't work or does
that mean that in the future they shouldn't get one?
Speaker 2 (04:54):
You know what, that's that's a fantastic question, and I
get that one. I get that question a lot too. No,
it doesn't mean necessarily that the vaccine didn't work. There's
so many factors that go into for example, a flu vaccine.
The virus that causes flu, that virus is constantly mutating
and changing and changing those proteins. They're pretty clever for
(05:17):
something that doesn't have a brain. They're able to mutate,
and we have to keep changing the vaccine to match that. Well.
Those predictions of what kinds of what strains of flu
will be coming to us, those predictions have to be
made in say February, for the flu season in the fall,
So the World Health Organization and others put together all
(05:39):
kinds of data of what's going on, what strains are
most likely to be causing flu in the fall, and
we have to just make that decision in February so
that we can get the vaccine. It's pretty long processed
to make that vaccine, so it takes a long time
to prepare it. So that's the best we can to
(06:00):
predict what strains are going to be causing flu this year.
So you may miss. We may miss that prediction sometimes,
so that may be a reason why it didn't work,
but it will if you get a flu vaccine, and
even if it isn't a perfect match to the strain,
you will often have a very much less serious flu
illness than you would get if you didn't have the
(06:21):
vaccine because there will be some immunity there. And then
people are individuals if they got the vaccine, but they
have a poor immune response, either because you know, they
just naturally don't or as we get older, sometimes we
don't have as good immunity, and so that will affect
how you respond to the vaccine. So there's a lot
of things at play, but it and nothing in medicine,
(06:42):
as you know, is guaranteed. But I can tell you
that those predicting that is difficult, but that it definitely
is worth doing because flu kills, influenza kills, as you
mentioned earlier, we're.
Speaker 1 (06:55):
Mention and as far as the ingredients that are in
a vaccine are people can people be allergic to it?
I hear about egg allergy, like, what should we know
about the ingredients that go in?
Speaker 2 (07:09):
That's interesting because there are some that are incubated in
egg protein. However, very most of that is extracted out
and does not end up in the vaccine itself. Is
there a small chance? Yes? However, the CDC is now
saying that most people can still get a vaccine that
(07:30):
has that was incubated in egg as long as they
didn't have a severe life threatening allergy two eggs. So
there are folks that can take it and be fine.
That's something you would talk to your doctor or your
pharmacist about and tell them what that reaction was, and
they can help you choose. And there are vaccines. Many
of the vaccines are available, for example mRNA vaccines that
(07:53):
were not incubated in eggs. So there's options for people
that had a severe life threatening allergy to eggs or
to some other component. You said, hey, what else is
in them? So there's eggs, Sometimes there's preservatives, sometimes there
are other things in there that you might have an
allergy to. It's pretty rare, but if you've had a
severe reaction to a vaccine, then in general we want
to have a conversation about whether you should get that
(08:15):
vaccine again or not. It depends on what that reaction was.
But most of the time, yeah, you could expect a
sore arm or a little bit of redness or something
like that that goes away. You might feel a little
We always say if you feel a little bit bad
after you get a vaccine, it is part of the
indication that's working. So you're not necessarily you're not having
(08:35):
an allergic reaction. You're just your body's mounting that immune response.
Speaker 1 (08:40):
Well, we are learning so much about vaccines. We're talking
with doctor Angelas Sandlin. We're going to talk a little
bit more about vaccines in general when we come back,
and then get into some of the specific vaccinations we
should be thinking about. You are listening to Center It
On Health with Baptist Health here on news Radio eight
forty whas. I'm your host, doctor Jeff Tavlin, And like
I said, we're with doctor Angela Sandlan tonight. Our phone
(09:02):
number five oh two five seven one, eight four eight four.
If you've got questions about vaccinations or anything the pharmacists
can do for.
Speaker 3 (09:09):
You, give us a.
Speaker 1 (09:10):
Call and we will see you after the break. Welcome
back to Centered on Health with bout This Health here
(09:31):
on news radio eight forty whas. I'm your host, doctor
Jeff Talblin, and tonight we're talking with doctor Angela Sandlin
about the importance of vaccinations and answering questions about vaccines
or the benefit of using your pharmacist for help. Our
phone number is five oh two, five seven one, eight
four eight four. Our producer, mister Jim Fenn is on
(09:52):
standby ready to take your calls. And before we went
to the break, we were learning about vaccines and Salem.
You mentioned a couple of things. I just wanted to
ask a couple follow up questions. On the first is
you talked a lot about the role of the immune system,
which is so important. So are there patients out there
that might might not be appropriate for a vaccine because
(10:16):
of their immune status?
Speaker 2 (10:19):
You know they sometimes you don't get as good of
a response if your immune simp system is compromised, but
it's still important to get you.
Speaker 1 (10:33):
Welcome back to Center It on Health with Baptists Health
here on news radio eight forty whas. I'm your host,
doctor Jeff Tublin, and we've been talking with doctor Angela
Sandlin tonight about vaccinations. We had a brief interruption of
our conversation, but we are back and we have doctor Sanlin,
and she is here to take your calls. Five oh two,
(10:54):
five seven one, eight four eighty four, And we have
a caller on the line for you to doctor Sandlin
a question about vaccinations and possible scarring of the skin.
So you're on Centered on Health. Miles.
Speaker 2 (11:09):
Hello, how are you well, chum? How are you hello?
I'm great, Thank you, thanks for calling in. What was
your question?
Speaker 1 (11:19):
Oh?
Speaker 3 (11:19):
My question? Well, well, first of all, I have to
stop this doctor Sanlin. This is Greg. How are you well.
Speaker 2 (11:25):
I'm doing well. Thank you.
Speaker 3 (11:28):
Nice to hear you again.
Speaker 2 (11:29):
It's been quite a while unli likewise, and it's nice
to hear from you as well.
Speaker 3 (11:34):
Thank you, thank you. I do have two questions. One
has to do with vaccines and scarring. My aunt had
a giant scar on her left deltoid area, probably about
oh three inches in diameter. From the time I was
I can always remember her with that, that's my first question.
What in vaccines would cause something like that.
Speaker 2 (11:56):
That's so interesting you should ask, because that it was
a smallpox vaccine and it was given smallpox. In fact,
was the first vaccine that was developed by doctor edber Jenner,
was the smallpox vaccine. And it smallpox used to kill
so many people. It was so deadly, and in the
United States, a concerted effort was made to use this
(12:19):
vaccine and it was given to folks until about nineteen
seventy two. And it was a different kind of vaccine.
It was given by a different method. It was called
an intradermal vaccine. So unlike the ones where you get
the vaccine and it's into the muscle, was a little
needle that goes into the muscle. This was an intradermal
vaccine for this smallpox. And they used a needle that
(12:41):
had what they call bifurcated. It had little tongs, little
tins on it, and it was given by poking the
skin and getting into that dermis right below the first
layer of skin and stimulating the immune response to the
organism with a vaccine that way, And what would happen
was the body would mount that response and it would
(13:03):
a soar would develop and it would generally be like
a pustule and it would rise up and that would
be the body developing that fighting that vaccine to mounting
that immune response, but it would create that scar. So
absolutely that's what your aunt most likely had. That was
if you see those folks that have that scar on
their shoulder right below their shoulder in their deltoid area,
(13:26):
that is a smallpox vaccine. And that went on until
about nineteen seventy two. So if you see that in
the United States on someone's arm, you see that little
indentation that's just scarring left from tissue healing where that
intradermal injection was given. But you can always tell about
how old a person must be, at least fifty three.
Then if you think about it that way, we stopped
(13:46):
getting that you United States in about nineteen seventy two,
and in fact, the World Health Organization declared small pox
to be completely eradicated from the planet in about nineteen eighty.
And that was a wonderful thing that as a result
of a vaccine, is that we actually eradicated it. Now,
could it come back? Yes, you know there is some
(14:07):
in laboratories that are, there's a couple of laboratories that
have smallpox. That's where it's studied. And if that should
happen to be inadvertently released or whatever, you know, smallpox
could reappear. But for the it's no longer the vaccine
is no longer given in this country because small pox
has been eradicated, So you don't really see the vaccine
(14:27):
given out there normally at all. So it's kind of
interesting you should ask. Yes, most vaccines don't leave a
scar like that at all. Right. I will tell you
too that in some other countries tuberculosis has to be
vaccinated before because it's much more common than it is
here in the United States, and that vaccine for tuberculosis,
(14:48):
called BCG, is given the same kind of way, and
it will lead to the same kind of scar. So
if you see someone that's not from the United States
and have that, it's possible, or if someone's in the military,
sometimes they'll get it if they're being in a region
work toberculosis is more common and it can make that
same kind of scar. So we certainly can't diagnose whether
(15:08):
someone's had the vaccine based on that. But that's what
you saw, that's what your aunt has and a lot
of people have that.
Speaker 1 (15:15):
Doctor Sandlin. So, but the ones that you know, most
of our listeners are most familiar with flu, pneumonia, covid,
RSV shingles. Those don't leave marks like that, correct.
Speaker 2 (15:26):
No, they don't, not at all. They're given in the muscle,
and it will make it's a weave, a very thin needle,
and it goes right into the muscle, and we can
give that pretty painlessly, and your arm might be sore
for a little while, but maybe a day or so,
and then you we will not have a scar from
that at all. No, you might just have a little
bit of shore you gave me. So I know that
(15:50):
you're telling you you're exactly right. It didn't hurt a bit,
did it not at all?
Speaker 1 (15:55):
So, Greg, I think you said you might have had
two questions.
Speaker 3 (16:00):
Yes, yeah, it was absolutely.
Speaker 2 (16:08):
They say I'm a good vaccine giver, So that's good,
and I'm I'm proud of you for you guys, for
getting vaccines and practicing what you preach. So I think
that's wonderful. It's great, and you know you protect There
are a few people that can't get a vaccine for
some reason. Maybe they're in the middle of your chemotherapy,
(16:29):
or for some reason just can't get certain vaccines at
the time and you're protecting them, or maybe if somehow
they didn't have the opportunity to get a vaccine. The
more people that are vaccinated, that leads to her immunity,
which means that the vaccine can't travel from person to
person because people are vaccinated, so it basically dive out.
(16:52):
And that's how we got rid of smallpox. So many
people got vaccinated that even the ones that couldn't get
vaccinated or didn't weren't exposed to it. So that's just
why it's so important not only for the person, but
for your community to get vaccinated. So that those are
great questions.
Speaker 1 (17:08):
And Greg, I know you had a question, but before
we get to that, so Doctor Salalin, what you just
said I think is worth expanding on just a little
bit because a lot of times what I hear is
somebody will say that they are pretty healthy. So if
they were to get the flu, or they were to
get something that they didn't want to get a vaccination
for that they would do quote okay, that they wouldn't
(17:31):
get terribly sick because they're healthy. But I think you
just made a really good point about sometimes getting the
vaccination is not just protecting yourself, but it's really protecting
our whole community.
Speaker 2 (17:40):
That's right, it's not just about you. So we had
a patient come here with asking about the RSP, the
respiratory syn social virus, and she said, oh, someone, I
heard someone say that I needed this, but I thought
that was only for little babies. Well, it is for
babies because they're vulnerable, but oulation two, depending on age
(18:02):
and other medical conditions you might have, makes you a
well to not only protect a baby, but to protect yourself,
because it works both ways. So the herd immunity protects
your community, the vaccine protects yourself. So it's just it's
not important just for you, but it is. It's important
to not give that to a baby. And that's why
(18:23):
we're so careful about making sure that our expectant mothers
are vaccinated so that they don't trans to have as
much chance of transmitting an illness to their baby, or
being around a baby when they have the illness and
transmitting something like RSV to a newborn baby, in which
it can be very dangerous. And people say, oh, I'll
just get I'll just get measles. If I get measles,
(18:44):
you know, I think I can finde it off. But
then there's those people, those you could be, even of
those seemingly healthy people that ends up with if you
don't die of it, you could have encephalitis, you could
have a brain injury. You know, something else could occur.
You don't know. And a vaccine is such a low
risk thing to do that the benefits greatly exceed the risk.
(19:07):
There's no doubt that it's safe life. My grandfather, you know,
you talk about flu. My grandfather was in the army
in World War One and he nearly died of influenza
the nineteen eighteen flu I wouldn't have been here.
Speaker 1 (19:24):
Yeah, I'm glad that you described the herd immunity thing
because I think we heard a lot about that during
during COVID and kind of explaining what that concept is.
But Greg, I think you're still with us, and if
you had another question, we're happy to have doctor Samlin
try and answer it.
Speaker 3 (19:40):
Oh great, I'll always love talking to doctor Stamm.
Speaker 2 (19:43):
She's the best, and to her, well, I would love that.
But while was her.
Speaker 3 (19:50):
Question, as I was waiting for the show to come
on at seven o'clock they were having the top of
the hour news break and one of the topics they
and stories they mentioned was apparently there was something today
about the CDC Advisory Committee and discussing flu vaccines and
the additive style.
Speaker 2 (20:11):
Marisol and whether or not there was time the preservative
in them.
Speaker 3 (20:18):
Right, is this really a thing or is this just
more of a to do about it?
Speaker 2 (20:25):
It is a do about nothing that most of those
don't even contain thymerisol anyway, the flu vaccine, and it
is not associated with any ill effects such as you
know they're in nineteen ninety eight, I believe it was
there was a small paper by a British someone in
Great Britain that said there might be an association between
(20:47):
thy marisol and autism or some other kinds of problems.
That has been completely debunked, but it's one of those
things that persists and you hear it popping up again.
There is a well, there could be a risk of
an allergic reaction to a vaccine, a small risk, though
it is. There could be a risk of you and
you're going to have the arm soreness and muscle soreness,
(21:09):
or just feel a little under the weather. For a
day or so. But the benefits of these vaccines are
so much greater. It benefits to you and to your
community that know, it is much to ado about nothing.
Most of them don't even have thy marisol in them
at all now, And we have so many different presentations
that you can work with your pharmacist or your doctor
(21:30):
and find one that is perfect for you, even if
you have allergies. So yeah, I we can help you.
You don't. You don't have to avoid a vaccine because
of that. There's almost always something we can do.
Speaker 1 (21:42):
Right, Well, thank you, Are there any of those questions?
Do you have another question?
Speaker 3 (21:48):
Well, you're very you are very welcome. I can save
my question for next week when doctor Stanmler will be
on again, hopefully.
Speaker 2 (21:55):
Well, thank you, Brad.
Speaker 1 (21:56):
As always, so doctor said, let's let's let's go into
a vaccine that I don't know that we talk about
all that much because I think we always start with
flu and we go into shingles and those are all
super important, but we don't talk about the pneumonia shot
that much. So to talk a little bit about where
where are we with pneumonia shots? I get very confused
(22:17):
about which shot is out there? And who needs to
get in at the different type. So talk to us
a little bit about the pneumonia shot.
Speaker 2 (22:24):
It is getting so confusing, And in fact, I had
a question a couple of days ago about that New
macaccle disease is another serious bacterial disease that can cause
much illness, hospitalizations, and death. And it is particularly dangerous
for the very young and the very old and those
people whose immune system isn't what it should be. But
(22:48):
it is important for everyone again, just like we talked
about to help yourself and to help your community. So
there's strip pneumonia is the organism that causes this, and
there's many different what we call serotypes, many different strains,
if you will. And what happened was we had an
older vaccine called the PTSV, the New Macacco polypacharide, that
(23:13):
was the first original new maccaccol vaccine, and it at
one point had twenty three of these different sero types
that were known to cause illness, caused new macacca disease,
invasive new miccaca disease mean very serious. And we had
that vaccine at the same time children. It didn't work
in children, so we developed a different type, a different
(23:36):
presentation of the vaccine called the polysaccharide vasaucio polysacharide, but
a conjugate and all that to say that it helped
children keep from getting new maccaca disease. But it had
a special benefit of protecting the mucosa and by that
I mean inside the nose. It had a protective immunity there.
(23:59):
And guess what for those types of thirteen zero types
or the thirteen strains, it did such a good job
of not spreading pneumonia to adults from children that were
carrying it that those became no problem anymore. But unfortunately,
like I said, these viruses are clever, and more strains
(24:22):
took their place. So we are constantly changing the vaccine,
adding different strains. We do a lot of testing determine
which strains are causing illness in adults and in children,
and we're really trying to keep ahead and keep up
with it. So there have been right now, there are
new Macawcle fifteen. There's a of the adult vaccines, there's
(24:45):
a fifteen, there's twenty, and there's twenty one and the
most recent one has twenty one strains twenty one zero
types to protect you. So if in some cases, if
you've had one of the older vaccines, one of the
older new maccaco vaccines, or even a combination of two
(25:07):
of the previous vaccines, it's recommended to get this newer vaccine,
but there is a time period that you need to
wait depending on This is where your doctor and your
pharmacists can help you determine what you need and win.
The twenty one and the twenty are the two that
are recommended now, and sometimes you just whichever one you
can get. The twenty one valent or the twenty one
(25:30):
strain vaccine Newmiccaco vaccine is most has the best combination
of strains that are causing new macacle. You know it's
dangerous new maccacle disease. But the twenty is also really good.
So either of those are recommended right now. And if
(25:51):
you've had one of the older combinations at some point
between one and five years and it depends, i'd have
to talk to you about this what you specifically have
ad you would need another vaccine with one of the
newer ones. So all that to say, if you don't
know what it is, we can help you find out
what it is and see when you got it and
decide when you need another vaccine to protect you from
(26:13):
what's now out there, and once.
Speaker 1 (26:17):
You're caught up to kind of the most up to
date one that is right for you as an individual,
how often should you get a pneumonia about it.
Speaker 2 (26:28):
That's a great question too, because technically we don't recommend
the vaccine. Experts do not recommend getting a revaccination, but
we also know that those strains are changing, and we
also know that we are we have to test people
and see how long that immunity lasts. So there are
some experts that think you should be re vaccinated after
(26:48):
say five to ten years, but that, just like you'll
say about RSV and some of the other vaccines, that
remains to be seen. So it's so important to have
that relationship with your doctor and have a pharmacist that
you can work with so they can keep you abreast
of what you might need and give you those reminders, Hey,
maybe you do need another vaccine. So you've got to
stay plugged in. You've got to take some participation in
(27:09):
your own health, and we can help you decide when
it's time to get another vaccine. Great question, because right now,
you don't just say you like every year, Like you
need a flu vaccine every year. You don't need a
new maccawcle vaccine every year, but there might be a
time when you need another one, depending on how the
strains evolve and depending on what we find out about immunity.
Speaker 1 (27:32):
Well, we are talking with doctor Angela Sandlin about vaccinations.
Always learning tons of information about where we are and
keeping us up to date. We're going to take a
break right here, and I want to remind everybody that
you are listening to Centered on Health with Baptist Health
here on news radio eight forty WAHS. I'm your host,
doctor Jeff Tavlin, and as mentioned, we're talking with doctor
Angelas Sandlin about vaccinations. If you've missed tonight's show, we
(27:55):
want to hear all of the rest of it back
in its entirety. Download the iHeartRadio app. You can have
access to all the information.
Speaker 2 (28:02):
We'll be with that.
Speaker 1 (28:17):
Welcome back to Center It on Health with that just help.
Here on news radio eight forty WHAS. I'm your host,
doctor jeffs Helman. We're talking tonight to doctor Angela Sandlin
about vaccinations. Remember to download the iHeartRadio app to listen
to this or any of our previous segments and to
have access to all the features that the app has
to offer. So, Doctor Salmon, I want to talk about
(28:38):
a couple of vaccinations that we don't talk about a lot.
Some everybody's heard of the term tetanus and a tetanus shot,
But what is tetanus and why do we need a shot?
Speaker 2 (28:53):
You know, tetanus has been around forever and it is
something that can again cause serious illness, and it's it's
combined many times with two other types of vaccinations to
other tones of vaccinations in there, which would be diphtheria
and protestis. And I know we've heard about the resurgence
(29:14):
in protests which is also known as whooping cough. And
that's why this absolutely and so that has been such
a threat in children that I think it's brought to
the forefront being sure that you are vaccinated against tetanus,
and your immunity to that, even if you had that
vaccine wanes throughout life, and you really need a tetanus
(29:37):
booster every ten years. And I know you might think, well,
I'm not outside that much. You know that you always
hear about somebody stepping on a nail like that, But
there's you never know when something like that is going
to happen, and it can be very serious. Any kind
of open wound where there's tetanus or the causation can
(30:00):
live in the dirt forever for a very long time.
So getting a wound or a scrape or something that's
where you've been out in anywhere you're around dirt can
be dangerous. And then the fact that it's combined with diphtheria,
and we've been called make it's so important because if
we've talked about not just protecting yourself, but protecting other people,
small children and people that are immuno compromised and that
(30:22):
are elderly, so much more serious in them and especially
in children. So it's important to protect yourself and protect others.
And a lot of times you will get that in
a combination. You'll either get tetanus, diphtheria every ten years
or if that isn't available for whatever reason, or also
to get that protection with the protessis you would get
(30:44):
all three in one simple vaccine and that should be
done every ten years. And we're just finding that people
forget about it, and I'm guilty myself. I realized that
it had been more than ten years since I'd had one,
and you really need to be protected. So I've taken
care of it. But it's just super important to get
those to get those vaccines because it protects you in
(31:06):
ways you think, oh, well, nothing would happen. I'll never that,
will nothing whatever happen to me where I would get
injured and might risk tennis. But yes it can, whether
it's you know, Heaven forbid, you'd be in a car accident,
or you fall, or you just don't know what kinds
of things. Any kind of open wound needs to be
evaluated to make sure that you up to date on tetanus,
(31:27):
because if you're not, you know, you can lead to
all other kinds of problems. And if we're seeing you
in our emergency department and you have a wound like that,
that's going to be something that we are going to
look at very closely to see when your life vaccination
was and do you need a booster, do you need
in fact the immune globul And sometimes in certain kinds
of injuries, we'll give you both the tetanus booster and
(31:49):
the immune globulin to fight off the danger that you
might already have been exposed to tetanus. So it's it's
something that gets overlooked and forgotten. And I think the
CDC has been saying that community to it is waning
and people are not getting vaccinated, which is sad because
it's readily available and it's it's highly work, you know,
it's it's something you need to get every ten years.
Speaker 1 (32:10):
Absolutely, And we talked and you mentioned how serious protessis
can be, but tetanus is no joke either.
Speaker 2 (32:16):
It's you actually get absolutely, absolutely so super important to
keep that up. And like I said, I'm just glad
that you're asking about it because it remind everybody in
our in our listing area to think about that, when
did I get it? When did I get a tetanus booster?
How long has it been? And again, we can help
you with that. Your doctor can help you with that,
pharmacies can help you with that. With that vaccine, just
(32:38):
to make sure you're up to date, you're maximally protected
against tetanus, diphtheria, looking cough, and you're protecting other people too.
Speaker 1 (32:47):
Fantastic. And one of the things as a pharmacist, I
would be curious to hear your take on is is
tama flu we hear a lot. You know, we talk
a lot about the flu. We've talked about that. I
could ask you a zillion more questions about that, But
one of the questions that even I want to know is,
you know, at what point can you get tamil flu,
(33:08):
who can get it? And when is it too late
to get tamil flu.
Speaker 2 (33:12):
You know, information on that is evolving because it's that
has expanded a bit in the times to get it.
Tammi flu is one of that is one of the
viral illnesses that we can actually treat with an oral medication,
so it is available to folks. And I will tell
you too that sometimes in the past flu seasons, it's
(33:34):
become in very short supply, and in those instances we
sometimes have to make decisions about an provider or a
physician will make a decision about who is most at
risk of danger from having the flu causing that problem,
you know, causing severe flu, and they will actually have
(33:54):
to make a decision over whether it's indicated for that
person depending on risk. But as far as giving the
tammy flu and whether you would say if you were
diagnosed with flu, and that's sometimes it's hard to tell
when you really do if is it flu or is
it something else? But it's important. The sooner you can
(34:14):
start to tammy flu, the better off you would be,
you know, the better off you would be able to
fight the virus off and have a less severe course
of flu. And you know you can't you can't stop
it once you have it, but it caused a very
much less severe disease, and it can even in some people.
(34:35):
There is a preventative dose that can be given now
that would be based on what your risk factors are
and if you're you know a lot of other things,
but it can be given as a preventative. But the
sooner it's given when you found out that you have
the flu, the better off you are in taking it.
But we're finding that it is you know that even
(34:57):
a little bit later in the course it's still can
be valuable.
Speaker 1 (35:03):
Well, we have about a minute left and I just
wanted to get your inputs for our listeners on when
is the optimal time to get your flu shot? Is
it when is it too late? And if you get
it too early in the year, do you have to
get it again or does it last the whole season.
Speaker 2 (35:19):
The CDC and the Advatorie Council on Immunization Practices, So
that's the arm of the CDC that makes these recommendations.
Says October is optimal. Near the end of October is optimal.
In general. They say, if you get the flu vaccine
as soon as it's available, that is another possibility because
(35:41):
they want you to not is there afraid that if
you put it off, you won't do it. So I
like October, but it generally comes out. We start getting
it in our pharmacies around actually get around September, which
is fine if that's if you couldn't get it at
another time, it would be important to go go ahead
and get get vaccinated when you can do it, but
(36:03):
it's important just to get it done and know it
is really within the season. It is never too late.
We have seen flu. You think you're not going to
have a bad season, and it's March and you think,
oh we've gotten through it, and then it'll show up.
So it's never too late. Within that season into March
would still be okay.
Speaker 1 (36:23):
But thank you.
Speaker 2 (36:24):
After that, it's the next one.
Speaker 1 (36:26):
Fantastic. Well, that music tells us that we have to
take a break, even though you and I never want
to stop talking but thank you again, doctor Salmin. This
is going to wrap it up for another segment of
Centered on Health with Baptist Health. I'm your host, doctor
Jeff Tublin, and as always, I want to thank doctor
Salmon for sharing with us her best knowledge of information
about the pharmacy and tonight vaccinations. I want to thank
(36:48):
our producervice to Jim Fenn and of course all of
you the listeners. Join us every Thursday night for another
segment of Centered on Health, Have a great week and
a great weekend. Program is for informational purposes only and
should not be relied upon as medical advice. The content
of this program is not intended to be a substitute
for professional medical advice, diagnosis, or treatment. This show is
(37:11):
not designed to replace the physician's medical assessment and medical judgment.
Always seek the advice of your physician with any questions
or concerns you may.
Speaker 2 (37:20):
Have related to your personal health or regarding specific medical conditions.
To find a Baptist Health provider, please visit Baptistealth dot
com
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