Posts tagged with Immunization

Procrastinators $10 Flu Shot Holiday Party

Early indications are that we are set to have an unusually early (and possible severe) flu season. Kansas has not yet seen widespread cases reported but the eastern US is already seeing a spike. If you have not yet received your flu shot, it needs to be done as soon as possible - as it takes about 2 weeks to provide protection. However, it's not too late and sometimes good things come to those who wait - like $10 flu shots!

Get a $10 flu shot IF you wear an ugly Christmas sweater AND bring a donation for Just Food.

Get a $10 flu shot IF you wear an ugly Christmas sweater AND bring a donation for Just Food. by Ryan Neuhofel

If you'd still like to get your flu shot and enjoy some hot cocoa and old-fashioned Holiday jingles, please join us this Saturday morning. The fee is $10 cash IF you wear an ugly Christmas sweater AND bring a donation for Just Food (details below).

  • Saturday, Dec 15, 9a - noon
  • NeuCare Family Medicine in Medical Arts Building at 346 Maine St. (across from LMH)
  • Public welcome. Ages 3 years & up. Not required to be a NeuCare member. No insurance required.
  • RSVP appreciated (info@neucare.net), but not required

Fee (details)

  • Grinch = $20 each

  • $5 discount for wearing an appreciably ugly Christmas sweater (Dr. Neu to judge)

  • $5 discount for donating 3 canned items or $5 cash to Just Food

  • Cash only. Supplies limited.

  • Please print and complete a CONSENT FORM prior to arrival. Forms will be available on-site as well.


W. Ryan Neuhofel, DO, MPH (Dr. Neu) is the physician and owner of NeuCare Family Medicine. He is a board-certified Family Physician (American Board of Family Medicine) and Fellow-candidate in Wilderness Medicine.

For more information about NeuCare, visit them online or Facebook.

Information contained here is intended for general health education only. All personal health and medical issues should be managed by a health professional.

NeuCare Family Medicine is a paid sponsor and advertisor of Wellcommons.com and Lawrencemarketplace.com

Reply 3 comments from Riverdrifter Ryan Neuhofel Karrey Britt

The flu shot doesn’t always work but you should still get it

As flu season arrives (it’s officially here now) I am urging procrastinators to get vaccinated ASAP. People often cite negative personal experiences with the flu shot as a reason for declining my recommendation. The most common concerns I hear about the flu shot are “it gave me the flu” or “doesn't work for me.” Is that possible? And why does it not work sometimes?

Influenza A Virus.

Influenza A Virus. by Ryan Neuhofel

Let’s tackle the first issue because it’s a much simpler topic. Is it possible for the shot to give you the flu? The short answer is ‘no.' Flu vaccines are either “dead” or “inactive” viruses so they cannot replicate, infect or spread through the body. However, stories of people getting sick (including actual influenza) after getting the flu vaccine are not crazy talk. So what’s the deal? There are several plausible explanations for getting “sick” despite getting a flu shot. (in no particular order)

1) Strong immune response following vaccine. The flu vaccine does cause a low-grade immune response by design. That’s how all immunizations work. The degree of the response can vary from mild to more severe. A more severe immune (inflammatory) response can give flu-like symptoms, including fatigue, low-grade fevers and body aches last for several days (48-72 hours) following your shot.

2) Poor immune response. Some people whom get the flu shot do not gain “immunity” because of a variety of factors. This issue is most common in the very young or old, so guidelines now recommend giving young children 2 doses for their first time and possibly “high dose” vaccines to the elderly. In fact there is still plenty of legitimate debate about the vaccines effectiveness in these high-risk populations (ironically the ones whom will most benefit from the vaccine).

3) Immunity lag time. Your immune system will require approximately 2 weeks to fully gain immunity from the vaccine. So, the vaccine is not immediately protective. During that lag time, it is very possible to get infected with a live flu virus.

4) Not 100% flu strain coverage. This is probably the biggest “downfall” I hear from well-read patients, but it’s a complex and evolving issue. There are 2 main subtypes of flu but dozens of strains circle the globe each year and are constantly mutating in to new forms. Each year’s North American vaccine is based on a carefully planned study of which flu viruses are most likely to be common here based on international trends. This process has markedly improved over the years and the 2010-2011 vaccine was a 94-99% match for the strains that eventually became common in the U.S.

5) Not 100% preventive against infection. Even if you have full immunity to the circulating viruses, you can still become infected with those viruses. In theory, your immune response will be much quicker and stronger (lessening the severity and length of the flu), but you may still become sick.

6) Other viral illness. A whole host of other viruses exist that can cause flu-like illness. The flu shot does not protect against these “common cold” viruses (adeno, rhino, etc.). They are less severe than influenza, but can make you feel pretty crummy and in bed for several days.

Given all of these potential pitfalls of the flu vaccine, why should you get one at all?

For all the reasons listed above, the current flu vaccine is not close to being 100% protective. Our public health marketing effort has probably oversold the effectiveness of the flu shot in many ways. It’s nowhere near as effective as other vaccines (measles, tetanus, etc.) at preventing illness or death. However, it’s the best available way to lower your risk of contracting the flu, becoming very ill from influenza and passing the virus to family and friends. Exercising regularly and eating a well balanced diet does not guarantee avoidance of cardiovascular disease or cancer (or contracting the flu), but I’m not afraid to recommend them either.


W. Ryan Neuhofel, DO, MPH (Dr. Neu) is the physician and owner of NeuCare Family Medicine. He is a board-certified Family Physician (American Board of Family Medicine) and Fellow-candidate in Wilderness Medicine.

For more information about NeuCare, visit them online or Facebook.

Information contained here is intended for general health education only. All personal health and medical issues should be managed by a health professional.

NeuCare Family Medicine is a paid sponsor and advertisor of Wellcommons.com and Lawrencemarketplace.com

Reply 1 comment from Marilyn Hull