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	<title>Comments on: My First Swine Flu Patient</title>
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	<description>Politics and Medicine: A Lethal Combination</description>
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		<title>By: Kiwi Polemicist</title>
		<link>http://www.macdoctor.co.nz/2009/04/28/my-first-swine-flu-patient/comment-page-1/#comment-2613</link>
		<dc:creator>Kiwi Polemicist</dc:creator>
		<pubDate>Wed, 29 Apr 2009 02:19:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.macdoctor.co.nz/?p=2064#comment-2613</guid>
		<description>I&#039;ve been puzzled as to why Mexico is so much worse than elsewhere, but your update #5 has a plausible explanation, i.e. a good number of &lt;i&gt;known cases&lt;/i&gt; have been fatal but the mortality rate over &lt;i&gt;all cases&lt;/i&gt; may well be not too bad. I understand that a lot happens in rural Mexico that the state knows nothing about.

Do you think that this might be a pandemic of a worse-than-average virus rather than a rerun of 1918? People aren&#039;t dying in a day as they were in 1918.

Do you think that those of marginal and poor health should get some Tamiflu just in case?

I was reading about plague some years ago and it talked about the significance of the speed of travel possible at the time of an epidemic, i.e. the more people that a person can come in contact with during the infectious phase then the faster the epidemic will spread.

I see that USA today erroneously says that NZ has 11 &quot;confirmed cases&quot;. You can&#039;t trust the WHO, governments, or the media (who feed off the former), so we&#039;re pretty much in the dark. Hopefully you have a torch of the Common Sense brand.

http://www.usatoday.com/news/health/2009-04-27-swine-flu-mexico_N.htm

I know someone who called Healthline about a migraine and was told to call an ambulance because they had tingling down one side. This person went to bed instead and didn&#039;t suffer a CVA or anything else apart from the migraine.

&lt;abbr&gt;&lt;em&gt;Kiwi Polemicist’s last blog post..&lt;a href=&quot;http://kiwipolemicist.wordpress.com/2009/04/12/how-nokia-tests-their-phones-for-durability/&quot; rel=&quot;nofollow&quot;&gt;• How Nokia tests their phones for durability&lt;/a&gt;&lt;/em&gt;&lt;/abbr&gt;</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been puzzled as to why Mexico is so much worse than elsewhere, but your update #5 has a plausible explanation, i.e. a good number of <i>known cases</i> have been fatal but the mortality rate over <i>all cases</i> may well be not too bad. I understand that a lot happens in rural Mexico that the state knows nothing about.</p>
<p>Do you think that this might be a pandemic of a worse-than-average virus rather than a rerun of 1918? People aren&#8217;t dying in a day as they were in 1918.</p>
<p>Do you think that those of marginal and poor health should get some Tamiflu just in case?</p>
<p>I was reading about plague some years ago and it talked about the significance of the speed of travel possible at the time of an epidemic, i.e. the more people that a person can come in contact with during the infectious phase then the faster the epidemic will spread.</p>
<p>I see that USA today erroneously says that NZ has 11 &#8220;confirmed cases&#8221;. You can&#8217;t trust the WHO, governments, or the media (who feed off the former), so we&#8217;re pretty much in the dark. Hopefully you have a torch of the Common Sense brand.</p>
<p><a href="http://www.usatoday.com/news/health/2009-04-27-swine-flu-mexico_N.htm" rel="nofollow">http://www.usatoday.com/news/health/2009-04-27-swine-flu-mexico_N.htm</a></p>
<p>I know someone who called Healthline about a migraine and was told to call an ambulance because they had tingling down one side. This person went to bed instead and didn&#8217;t suffer a CVA or anything else apart from the migraine.</p>
<p><abbr><em>Kiwi Polemicist’s last blog post..<a href="http://kiwipolemicist.wordpress.com/2009/04/12/how-nokia-tests-their-phones-for-durability/" rel="nofollow">• How Nokia tests their phones for durability</a></em></abbr></p>
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		<title>By: MacDoctor</title>
		<link>http://www.macdoctor.co.nz/2009/04/28/my-first-swine-flu-patient/comment-page-1/#comment-2607</link>
		<dc:creator>MacDoctor</dc:creator>
		<pubDate>Tue, 28 Apr 2009 21:40:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.macdoctor.co.nz/?p=2064#comment-2607</guid>
		<description>KP:  Healthline is highly risk averse. They have been instructed to assume the worst case scenario for all presentation - meaning you are highly likely to be referred on to an urgent or emergency service even for an ostensibly trivial matter. Their chief function is not actually to help you &lt;i&gt;per se&lt;/i&gt; but to keep you out of crowded big-city emergency departments.

I think it is likely that Swine Flu will go pandemic. I also think that it is likely to be less deadly than our first impressions but still quite nasty.

If you are relying on government and/or the health service, you are likely to be disappointed. Health services usually barely cope with the normal winter problems and governments the world over have a very poor track record with any epidemic. Witness the meningococcal epidemic where the government response was to immunise every child with an untested vaccine &lt;i&gt;after&lt;/i&gt; the epidemic was over...</description>
		<content:encoded><![CDATA[<p>KP:  Healthline is highly risk averse. They have been instructed to assume the worst case scenario for all presentation &#8211; meaning you are highly likely to be referred on to an urgent or emergency service even for an ostensibly trivial matter. Their chief function is not actually to help you <i>per se</i> but to keep you out of crowded big-city emergency departments.</p>
<p>I think it is likely that Swine Flu will go pandemic. I also think that it is likely to be less deadly than our first impressions but still quite nasty.</p>
<p>If you are relying on government and/or the health service, you are likely to be disappointed. Health services usually barely cope with the normal winter problems and governments the world over have a very poor track record with any epidemic. Witness the meningococcal epidemic where the government response was to immunise every child with an untested vaccine <i>after</i> the epidemic was over&#8230;</p>
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		<title>By: Kiwi Polemicist</title>
		<link>http://www.macdoctor.co.nz/2009/04/28/my-first-swine-flu-patient/comment-page-1/#comment-2605</link>
		<dc:creator>Kiwi Polemicist</dc:creator>
		<pubDate>Tue, 28 Apr 2009 20:34:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.macdoctor.co.nz/?p=2064#comment-2605</guid>
		<description>My experience of Healthline is that they grossly over react to trivial matters. What is your impression of their advice?

How seriously do you take the possibility of swine flu becoming a pandemic?

If that does happen I assume that the government will be utterly useless and it&#039;ll be every man for himself.

&lt;abbr&gt;&lt;em&gt;Kiwi Polemicist’s last blog post..&lt;a href=&quot;http://kiwipolemicist.wordpress.com/2009/04/12/how-nokia-tests-their-phones-for-durability/&quot; rel=&quot;nofollow&quot;&gt;• How Nokia tests their phones for durability&lt;/a&gt;&lt;/em&gt;&lt;/abbr&gt;</description>
		<content:encoded><![CDATA[<p>My experience of Healthline is that they grossly over react to trivial matters. What is your impression of their advice?</p>
<p>How seriously do you take the possibility of swine flu becoming a pandemic?</p>
<p>If that does happen I assume that the government will be utterly useless and it&#8217;ll be every man for himself.</p>
<p><abbr><em>Kiwi Polemicist’s last blog post..<a href="http://kiwipolemicist.wordpress.com/2009/04/12/how-nokia-tests-their-phones-for-durability/" rel="nofollow">• How Nokia tests their phones for durability</a></em></abbr></p>
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		<title>By: Marty Mars</title>
		<link>http://www.macdoctor.co.nz/2009/04/28/my-first-swine-flu-patient/comment-page-1/#comment-2570</link>
		<dc:creator>Marty Mars</dc:creator>
		<pubDate>Tue, 28 Apr 2009 01:18:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.macdoctor.co.nz/?p=2064#comment-2570</guid>
		<description>Did your patient have swine flu?
&lt;p&gt;&lt;b&gt;Won&#039;t know for 3-4 days. I suspect not.&lt;/b&gt;&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Did your patient have swine flu?</p>
<p><b>Won&#8217;t know for 3-4 days. I suspect not.</b></p>
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		<title>By: roger nome</title>
		<link>http://www.macdoctor.co.nz/2009/04/28/my-first-swine-flu-patient/comment-page-1/#comment-2561</link>
		<dc:creator>roger nome</dc:creator>
		<pubDate>Mon, 27 Apr 2009 20:57:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.macdoctor.co.nz/?p=2064#comment-2561</guid>
		<description>Well done MacDoc - an excellent post. Scary and worrying, but very informative.</description>
		<content:encoded><![CDATA[<p>Well done MacDoc &#8211; an excellent post. Scary and worrying, but very informative.</p>
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