Sitting next to a doctor friend at dinner this past week, she tells me, getting serious and no-nonsense, looking me straight in the eyes: "This year, you HAVE to get your flu shot. No messing around." This woman is an adventurer, who swims across the Great South Bay with me, and is not averse to risks. But when she gets serious about this it's becaue she has seen, as a pediatrician in the Bronx, what can happen when you have a respiratory illness and contract COVID-19. "You do NOT want to have the flu and then get COVID-19," she tells me. For once, and perhaps the first time in a lifetime, I am getting my flu shot.

Then this "Flu Shot" emails arrives in my mailbox from City MD, and I'm thinking this is getting serious. (City MD was the safe, clean and non-threatening urgent care provider where I took my --ultimately negative-- test for the COVID-19 antibodies. I'd actually wished that it had turned out positive and that I had gotten it over with. My coworker and officemate, my brother, my good friend who is my neighbor all had come down with COVID-19 early, back in late February and early March, and I somehow managed to skate around it. But now with the new flu season looming and COVID-19 infections not appearing to be going away any time soon, I am listening. I hate flu shots. I had one once and it made my arm sore and my body a little achy, and I did not feel like going to the gym for days. This year I am thinking it's time.

Here is what City-MD had to say:

A Guide to Flu Season
Usually, flu season is fairly predictable. It generally runs from October through March, and the Centers for Disease Control and Prevention (CDC) uses data from the previous year to determine which three or four A and B strains will likely circulate in the United States. This year, however, flu season isn't likely to be so run-of-the-mill.

The difficulty, says Dr. Corey K. Smith, Department Chair, Emergency Medicine at Summit Medical Group, is that the COVID-19 pandemic is not yet under control. "The big question will be diagnosis of patients with cough and fever,” he says. "Is this flu or is this COVID-19? And in children, RSV (respiratory syncytial virus) can also cause similar symptoms."
Whichever virus you might come down with, the best way to manage the upcoming cold and flu season is to understand and follow what we know works. "The medical community puts out guidelines because diseases will be there," Dr. Smith says. "We need to be good stewards and follow them."
There is a worry that a bad flu season occurring at the same time as a rise in COVID-19 cases could overwhelm our health care system. The good news is that in the southern hemisphere where the flu season is coming to an end now, the level of infection was far less than normal because people have been following recommendations to prevent spread of COVID-19 such as socially distancing, wearing masks, and hand washing. If we do the same, perhaps we may also have far fewer infections this fall and winter.

Help Prevent the Spread

Whether you're worried about influenza or coronavirus, the rules remain the same. "Don't underestimate the importance of handwashing," Dr. Smith says. "That alone can reduce the prevalence in the community." Anytime you are going to touch your face, have a meal, or return home, wash your hands thoroughly with soap and water. If soap and water is not available, use an alcohol-based sanitizer.

Wear a Mask

Until the COVID-19 pandemic is under better control, we should all be wearing a mask when we are around anyone other than our household members. This includes when we are at work, going grocery shopping, or visiting the doctor’s office. This is most important when we are indoors or even when we are outdoors if we cannot remain physically distanced from others.
Prepare Ahead

Prepare ahead of time for at least one cold or flu. Stock up on supplies like:

- Cold medicines
- Tissues
- Thermometers
- Fluids like soups and drinks rich in electrolytes

If you have any medical conditions such as high blood pressure or diabetes, discuss which cold and flu medicines are safe for you ahead of time. And if you do get sick, don't ignore your symptoms. If you feel unwell, make an appointment to see a doctor, either in person or virtually. There are antiviral treatments for influenza that may help you feel better more quickly and prevent spread to others—but if you wait until you are past early stages, the medications are less effective and you could put yourself at risk of needing to go to the hospital.
That doesn't mean you need to run to urgent care if you spike a fever or come down with a cough. Instead, take advantage of a telehealth visit for a quick checkup. The goal, Dr. Smith says, is to reduce your chances of being exposed to more disease while also preventing urgent cares from being inundated.

Get Vaccinated

“This year, getting the flu vaccination is more important than ever,” says Dr. Dmitry Volfson, Executive Vice President, Regional Medical Director at CityMD. This will reduce your risk of catching the flu and developing symptoms that may make you worry that you have COVID-19.

Remember that, in general, it takes two weeks for antibodies to begin working after you've had the shot, so make sure to get it as soon as possible, to best protect yourself for the coming season. You can currently receive a flu vaccine at all CityMD locations. There is no appointment needed. Just walk in!

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