Sunday, October 11, 2009

A Shot in the Light

Mack Hall

In the next few weeks Americans must make a life-or-death decision for themselves and for their children – ‘flu shots or ‘flu shots-not.

For perhaps two generations we Americans have come to take as a given that we and our children should live healthy lives and die of old age. We have so sheltered ourselves in this matter that we have tossed the reality down the Orwellian Memory Hole – humans haven’t often lived much past thirty. A visit to any rural cemetery lying silently under the sighing pines reminds us of that hard truth, because next to any adult grave one often finds four or five tiny little graves which, if marked at all, will read simply “Baby,” over and over. In the terrible old days young parents did not choose a name until they knew the child would live, and they weren’t terribly optimistic about that.

A diagnosis of pneumonia, once a pronouncement of death, is seldom exciting now, and polio is thought by some to be found only on The History Channel. Vaccines and antibiotics, those wonderful gifts to civilization, are now sometimes questioned as unnatural and unnecessary by generations with no memory of iron lungs and pale hopes that at least some of the children might survive. Some young parents have come to fear the vaccines and medicines that have permitted millions of children to grow up instead of disappearing into forest cemeteries.

Well, here’s some bad news – an injection might indeed kill you or your child. So might a bee sting or a handful of peanuts or a whiff of weed allergens with the next northwest wind. A young acquaintance of mine, now a doctoral candidate, must carry an emergency allergen injector-thingie with her for the rest of her life. It’s a bother, but, hey, it beats being dead.

With immunizations as in most other matters, a parent is morally obligated to make decisions based on knowledge, not on hallway rumors and ‘net chatter. Freedom of information is so essential to a democracy that any restriction on the exchange of ideas is abominable, but the other half of that freedom is the burden of responsibility to seek out the truth.

A genuinely grieving father may be very sincere in his adamant belief that daily bathing caused his son to die of a bone infection, and he may freely post his belief on the ‘net and form clubs and causes. But what are the facts in the matter? Elementary hygiene makes it clear that daily bathing is part of the package of good practices that keep people alive. Should one anecdote, a study of somewhat less than a hundred, as Doctor Bailey of happy memory once said sardonically, then cause a generation of children to remain unwashed?

If a child suffers diarrhea from contamination on improperly cleaned lettuce do we then ban all fresh vegetables from her diet?

If a child eats a grilled-cheese sandwich one day and then falls off his bicycle the next, is there a connection that leads one to forbid grilled-cheese sandwiches?

Rumors, gossips, anecdotes, and conspiracy theories must not inform a mother or father’s decision on the child’s health care.

Take the child to the physician or nurse-practitioner, speak of your concerns, and then LISTEN. Physicians and NPs are, like, you know, smart and stuff. They did not spend their university years reading Jean-Paul Sartre and Bella Abzug, writing revolutionary manifestoes for the university newspaper, and protesting EvilHitlerBush; they employed their time in the texts and laboratories and hospitals under the guidance of physicians who knew how to save lives.

Listen. Think. And then make an informed decision.

There are no guarantees, as your health-care provider will tell you, and the choice must be yours. Pretty heavy burden, eh?

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