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Nov 13, 2018 at 17:15 comment added Narusan @DoctorWhom Yeah, that’s why I’ve deleted a fair bunch of comments. On the other hand, it seems to be used as an excuse for not doing regular checkups, at least of the patients I’ve been exposed to the past 3 months...
Nov 13, 2018 at 17:14 comment added DoctorWhom I honestly think that lifelong traumatizing is a RARE phenomenon. Kids who are afraid of the doctor seem to grow out of it after age 5 or so.
Nov 13, 2018 at 17:06 comment added Narusan @DeNovo True. I have “retracted” my comments. Bottom line: The only halfway sensible reason to spread vaccinations out is if children/patients severely object and can’t be calmed and you would risk life-long traumatization instead. In that way, it might be sensible to give the child space to retreat and try again in a different approach - but that’s obviously not supposed to be a few months later!
Nov 13, 2018 at 16:33 comment added De Novo @Narusan yes, it's been a while since my peds rotation, but young kids are most definitely afraid of going to the doctor because of shots. I remember being afraid myself, and that was quite some time ago. I only meant to say we have to be careful when we talk about these things. You don't want someone saying: "I'm not going to vaccinate my kids because Narusan said vaccines cause a life long fear of doctors".
Nov 13, 2018 at 16:27 comment added DoctorWhom @Narusan and DeNovo - Perhaps I wasn't clear enough - that was intended to further emphasize that the schedule is usually followed at earliest eligible date, when not it's just for parent preference not because of evidence, and there is next to zero reason for spacing out vaccines. I am 110% for getting vaccinated for everything possible. Should I delete my comment if it is distracting?
Nov 13, 2018 at 15:46 comment added De Novo @DoctorWhom re: MMRV, if I recall, the evidence was that the increased risk of febrile seizures was the relative risk of the combination vaccine vs. MMR and Varicella in two separate injections, and is more of any issue with that vaccine than with the schedule.
Nov 13, 2018 at 7:11 comment added DoctorWhom Correct. The only one I am sure about is a minuscule increase in risk of febrile seizure if you administer the combined single shot with both MMR+Varicella instead of two separate shots of MMR and Varicella (even if given in the same leg at the same time!) but that's in a very narrow age group. MOST spacing out of vaccines is done simply for patient/parent preference, so as not to have to endure so many pokes in one visit. I will find the reference for that... I have this conversation often. Evidence points to (and I'm all for) getting then done as soon as eligible & build protection ASAP.
Nov 13, 2018 at 2:50 history answered De Novo CC BY-SA 4.0