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in Health &middot November 5, 2019

How To Stay Healthy in Flu Season

Somehow it’s November already, which means that we are heading into flu season! While you can get it year-round, in the US you’re more likely to get it in December through March (x). As someone on 4 immunosuppressants, I get very anxious about the flu and other illnesses, as my body can’t fight it. But while immunosuppressed people are more likely to get the flu, anyone can get it. Whether or not you have a suppressed immune system, you should take precautions to avoid getting the flu. With that in mind, I’ve pulled together this guide on how to stay healthy in flu season. Good luck!

As a reminder, I’m not a medical professional! My advice is from personal experience and research. I always cite my sources when I share things I’ve found on the Internet, and I make sure to share information from reputable sources.

Boston lifestyle blogger Kate the (Almost) Great shares tips on how to stay healthy in flu season, including why you should get your flu shot.

How To Stay Healthy in Flu Season

Regularly wash your hands – You come in contact with so many germs during the day! It’s easy to remember to wash your hands after you use the bathroom or before you eat with your hands, but it’s harder to remember to do it in other situations. Over the course of my mornings, before I even get to my desk at work, I touch my MBTA card to the card reader (where thousands and thousands of people touch their cards), handles and seats on my bus, many door handles, my security card at work to multiple card readers, the coffee pot at my office, you get the idea. I don’t even want to know how many germs I come into contact with over the course of my 30-minute commute! Think about that can really gross you out, but it’s important to do so you can remember just how important it is to wash your hands. The CDC has a great 5-step guide of how to wash your hands, with the most important (to me) being that you need to lather them for 20 seconds.

Carry (and use) hand sanitizer – Without the opportunity to wash your hands, using hand sanitizer can also be helpful. The CDC recommends using a hand sanitizer with 60% alcohol, saying, “Alcohol-based hand sanitizers can quickly reduce the number of microbes on hands in some situations, but sanitizers do not eliminate all types of germs” (x). Another good thing to know is that “when hands are heavily soiled or greasy, hand sanitizers may not work well,” so they can’t replace washing your hands with soap and water (x). Additionally, hand sanitizer might not remove harmful chemicals like pesticides, so if you have the option to wash your hands instead, that’s the better choice (x).

Disinfect your technology – Think of all of the places your phone and laptop have been, of all the surfaces they’ve sat on or fallen onto. Think of all the times you’ve touched these things after touching something covered in germs, like a handle on the subway. Think of all of the sick people your technology has been near. Think of all the times you’ve dropped your phone on the ground. According to a Deloitte survey, “Americans are viewing their smartphones more often than ever before, on average 52 times per day” (x). And researchers at the University of Arizona found that “Cellphones carry 10 times more bacteria than most toilet seats” (x).

With that in mind, ask yourself, “When was the last time I disinfected my technology?” If you’re like most people, probably never. You should change that because, again, so. many. germs.

Get a mask if you’re at-risk – As I mentioned, my immune system is seriously suppressed. So suppressed that last year a stomach bug went around my dad’s office; he didn’t get it, but I did. Not only do I easily get sick, but when I do, I can’t fight it as much as someone not on these medications. I’m one of the people who could very easily die from the flu, so I take prevention very seriously. So seriously that I have masks that I wear when I have to go to the hospital! I carry one with me, too, so that I can put it on while commuting if someone near me is sick. Is that overkill? Not really; last year, I got a mystery illness that almost killed me.

But anyway. About the masks.

You can get a package of standard one at most drugstores. I personally have 2 Vogmasks because they’re reusable (and can be washed) and fun. They come in really fun colors and patterns!

5 items every immunosuppressed person needs

Get your flu shot – This is one of the best things you can do to prevent the flu! It’s a small thing to do, it’s easy, and it’s so worth it. Don’t believe me? Keep reading.

how to stay healthy in flu season, why you should get the flu shot, is the flu shot worth it, about the flu shot, protecting yourself from the flu

Why You Should Get the Flu Shot

It can’t actually give you the flu – This is such a common misconception! The CDC says, “flu vaccines cannot cause flu illness. Flu vaccines given with a needle (i.e., flu shots) are currently made in two ways: the vaccine is made either with a) flu viruses that have been ‘inactivated’ (killed) and that therefore are not infectious, or b) using only a single gene from a flu virus (as opposed to the full virus) in order to produce an immune response without causing infection” (x). The vaccine can take 2 weeks to kick in, so if you get the flu within 2 weeks of getting the vaccine, it doesn’t mean that you got the flu from the shot (x). Plus, common side effects of the flu shot are headache, fever, and muscle soreness, all of which are symptoms of the flu (x). So just because you get flu-like symptoms after getting the vaccine doesn’t mean that you actually have the flu.

The flu kills many people every year – You’ve probably heard of the Spanish influenza and how tons of people died from it. But people die from the flu every year. In modern time, “flu-related deaths have ranged from about 12,000 to 56,000, according to the CDC” (x). That’s even with all of the modern medicine techniques we have now! But while that’s the average, in the 2017-2018 flu season, 80,000 people died from the flu (x).

And even more end up hospitalized – In the 2018-2019 flu season, an estimated 36-41 million Americans got the flu. Okay, that’s a lot, but that doesn’t mean much, right? Wrong. In that flu season, “the disease has hospitalized 502,000 to 610,000 patients and killed 34,400 to 57,300” (x). And trust me when I say that, as someone who goes to the ER far more often than I would like, they don’t just hospitalize people for no reason or just because they have the flu. You have to be really sick to be hospitalized.

If you still get the flu, it won’t be as bad as if you didn’t get the vaccine – I know plenty of people who had said some version of, “I got the flu shot, but I still got the flu, so I’m not going to get it this year.” While I understand being frustrated with getting the flu even though you got the vaccine, the vaccine can actually prevent you from getting super ill even if you get the flu. The CDC says, “A 2017 study showed that flu vaccination reduced deaths, intensive care unit (ICU) admissions, ICU length of stay, and overall duration of hospitalization among hospitalized flu patients” (x). Additionally, “A 2018 study showed that among adults hospitalized with flu, vaccinated patients were 59 percent less likely to be admitted to the ICU than those who had not been vaccinated. Among adults in the ICU with flu, vaccinated patients on average spent 4 fewer days in the hospital than those who were not vaccinated” (x). To me, this makes the flu shot look even more appealing than it already did.

Plenty of people rely on the herd immunity – Hello, it’s me, your friendly neighborhood autoimmune patient on 4 immunosuppressant medications. Stay away from me if you haven’t gotten your flu shot! Additionally, while I am able to get the flu shot, there are people who can’t. This includes other people with suppressed immune systems, but it also includes babies, older people, and pregnant people. By refusing to get a flu shot, you are not just affecting yourself, but other people around you.

The flu shot is super easy to get – What’s great right now is that you can get the flu shot at lots of places and not just your doctor’s office! You can get it at CVS, Rite Aid, Walgreens, Walmart, Kroger, or and urgent care location. If you have insurance, you might be able to get your flu shot for free, and if not, it’s usually discounted (x). And it’s really quick! I’m a patient at MGH, and I got my flu shot for free at their annual clinic. It took 15 minutes, which is the longest it has ever taken, and I’ve gotten mine there since 2015.

So there you have it: getting the flu shot is a great thing to do, and it’s generally easy to do. You don’t have any excuses!

How are you staying safe this flu season?

Like this post? Check out:

Hacks for Living with Chronic Conditions, Chronic Illness Advice: Resources for the Newly-Diagnosed Patient, Chronic Illness and Mental Health, 10 Simple Self-Care Methods That Will Improve Your Life

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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Comments

  1. Alexis says

    November 5, 2019 at 11:51 pm

    Thank you for this! Super informative and love that you included the most obvious but often overlooked tip: to wash your hands. I can’t tell you how many people I see stroll out of the bathroom after barely running their hands under the water. Ugh.

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  2. Lydia says

    January 13, 2020 at 8:28 am

    This is a great post.

    I’m actually recovering from the flu right now. I was very lucky to have an uncomplicated course of it. There was no hospitalization needed or anything like that, but it was still a pretty miserable experience that I don’t want anyone else to go through.

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Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
Weekj 26 of 2026 Weekly Scenes of a summer week Weekj 26 of 2026 Weekly 

Scenes of a summer week in Maine! So glad I work from home, which means I can work from my real home (Maine, if that wasn’t clear)

1️⃣ Lots of Harley time
2️⃣ Working from home means saving my PTO for fun things!
3️⃣ Lots of duck families (📸 my dad)
4️⃣ What a lot of my days look like - Harley and my current project (needlepoint). And, yes, I’m still in a cast.
5️⃣ Learned how to play Mahjong, which my parents love
6️⃣ Lake views on the 4th

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs:
1️⃣ Harley the golden retriever on a deck as seen through some plants
2️⃣ Kate takes a selfie
3️⃣ A duck with little ducklings following on a lake
4️⃣ Harley coming up to Kate. Her legs are out on an ottoman, 1 foot in a walking cast, and an in-progress needlepoint project
5️⃣ Looking down at a Mahjong table with the game set up
6️⃣ A kayak on the shore of a lake 

#MaineTheWay #MaineSummer #Needlepoint #MaineLife
Living with chronic pain is really hard. You’re wi Living with chronic pain is really hard. You’re winning every day you’re still here.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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I've been spending a fair amount of time at my foo I've been spending a fair amount of time at my foot surgeon's office this year, and boy has it been messing with my head. ⁣
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I spent a lot of time from 2001-2010 dealing with my left foot. Long story short, it took until this foot surgeon saw me in 2010 after fixing this foot for me to be diagnosed with rheumatoid arthritis. But I spent those 9 years going from doctor to doctor, having surgery after surgery, trying to figure out what was causing my pain and to fix it. ⁣
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Was it the tarsal coalition? Did I have another chronic health issue? Etc. ⁣
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I spent from age 10 to 19 unsure what exactly was wrong with me and in huge amounts of pain. We thought we figured it out, and then something else happened. ⁣
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We know exactly what is wrong with this foot this time around: in 2024, I got 3 stress fractures, and no one put me in a boot. They almost fully healed before breaking in 2025, and then the same thing happened in 2026. ⁣
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This is a different part of the foot than I used to deal with, but any problems with my feet and especially my left foot messes with me. While this doctor eventually fixed the problems and even got me diagnosed with RA, every time I go back to his office, I have to fight not to become 17 again. ⁣
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PTSD is a bitch.⁣
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(PS - if you want to know why I'm going back to this guy when it messes with me, it's because I don't trust anyone else to fix my foot.)⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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Week 25 of #2026Weekly Happy to be in Maine for Week 25 of #2026Weekly 

Happy to be in Maine for a few weeks! I didn’t get up to a lot, so another week of very few pictures

1️⃣ IVIG 
2️⃣ Lots of beautiful birds have been coming to my mom’s bird feeder!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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1️⃣ Looking at Kate’s lap. Tubes are coming out from under her shirt and there’s a Kindle
2️⃣ Birds arriving at a bird feeder as seen through a window

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What do you have to do every day for your chronic What do you have to do every day for your chronic illnesses? ⁣
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For context, I have rheumatoid arthritis, fibromyalgia, endometriosis, POTS, heart disease, osteoporosis, and more. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: ⁣
Things I Do Every Day for My Chronic Illnesses⁣
Take pills at least 4 times a day⁣
Don’t eat gluten, dairy, corn, soy, or eggs⁣
Sleep 7+ hours a night⁣
Consume 80-100 grams of protein, 120 mg of calcium, 5-10 grams of sodium⁣
Wear a mask whenever I leave the house⁣
Do pilates 4+ days a week⁣
Work from home⁣
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Filmed this back in April (hence the sweater) but Filmed this back in April (hence the sweater) but it applies to whenever I have appointments! 

Video: Kate talks to the camera while holding a purse. She holds up individual items mentioned in the video before putting them in the bag. There are captions. 

#ChronicallyIll #RheumatoidArthritis #Osteoporosis #ChronicPain
There are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
Weeks 23 and 24 of 2026 Weekly! The last two wee Weeks 23 and 24 of 2026 Weekly! 

The last two weeks were prepping for my infusion, having/recovering from my infusion, and getting caught up after. This meant things were very busy but also I don’t have a lot to show for them. 

1️⃣ New glasses! I really like having multiple pairs so I can switch them as I want.
2️⃣ One of my current projects. I got this standing hoop for my birthday and I’m working on an alphabet (uppercase and lower, although I’m still working on the lower) with extra floss.
3️⃣ Infusion time! I got my higher dose so hopefully my symptoms improve a lot in the upcoming weeks🤞🏻

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣

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IDs: 
1️⃣ Kate takes a selfie. Her new glasses are thin silver circles
2️⃣ An in-progress cross-stitched alphabet in a special hoop stand that Kate is sitting on.
3️⃣ Kate takes a selfie in an infusion chair.

#ChronicallyIll #RheumatoidArthritis #AutoimmuneDisease #CrossStitcher
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