Friday, December 27, 2013


Contributed by  Betsey Miller, CRNP, PinnacleHealth Medical Group

I was lying awake, listening to my son cough – again. How many nights had it been?  I was trying to count them up in my head and remember when his cough had first started.  Had it been two weeks or three? My thoughts were interrupted by another coughing fit.  I went in to check on him.   He was sitting up now, gasping for air in between fits of coughing.  Tomorrow, I promised myself.  Tomorrow I would call for an appointment. 

When it comes to my kids, I’m a mother first.  But I’m also a family nurse practitioner.  And as I settled us both back to bed that night the list of possible diagnoses were running through my head.  As I thought about his coughing fits and the length of time he’d been coughing, I couldn’t help but consider pertussis as a possibility.

Pertussis, also known as whooping cough, is a highly contagious illness, characterized by severe coughing fits that can last for weeks.  It can be hard to detect initially, because its early symptoms are not unlike those of a common cold – runny nose, mild cough, low grade fever.  But as the disease progresses the coughing fits become more pronounced.  And the cough can last for up to 10 weeks!

Pertussis has made a resurgence in the last few years.  There are a number of reasons behind this, but the driving force has been a decreased immunity in our overall population.  Our children get immunized against pertussis as part of their routine immunization series as babies, but it is a series of immunizations, and they are not considered to be fully protected until they have completed the series at age 5.  Even then, no immunization is considered 100% perfect. However, studies have shown that immunization lessens the spread of the illness significantly.  Additionally, persons who become infected who were previously immunized have shorter courses of illness and do not become as sick.  

Because adults are more likely to transmit the illness, and because infants are the most susceptible, it is recommended that all caregivers of infants be updated with a Tdap vaccine.  Pregnant women are often offered this vaccine in their third trimester, or in the hospital shortly after delivery.  But other caregivers including fathers and grandparents should consider getting immunized too.  Pertussis infection in an infant can truly be a life threatening situation. 

As an adult, if you’re due for a tetanus shot, you should check to see if you need a pertussis booster.  If so, instead of getting just a plain tetanus shot (Td), you should consider getting an injection with pertussis (Tdap).  Remember, this will not only help to protect you from getting whooping cough, but it will also protect those around you. 

As for my son, I did take him to his primary care provider the following day.  He had a culture for pertussis, but thankfully it came back negative.  A chest xray showed pneumonia, but after a short course of antibiotics, he’s no longer coughing and is back to his old self!


  1. 223 Nguyễn Thượng Hiền, Quận 3, Hồ Chí Minh
    223 Nguyễn Văn Lượng, phường 10, Quận Gò Vấp, Hồ Chí Minh
    Lưu Văn Lang, Bến Thành, Quận 1, Hồ Chí Minh
    48 Trần Cung, Quận Cầu Giấy, Hà Nội
    118 Nguyễn Khánh Toàn, Quận Cầu Giấy, Hà Nội
    183 Mai Xuân Thưởng, phường 1, Quận 6, Hồ Chí Minh
    210 Trần Quang Khải, Tân Định, Quận 1, Hồ Chí Minh
    99 Trần Văn Danh, Phường 13, Quận Tân Bình, Hồ Chí Minh
    445 Âu Cơ, Nhật Tân, Quận Tây Hồ, Hà Nội
    3A Trần Quang Diệu, phường 13, Quận 3, Hồ Chí Minh
    6 Bàn Cờ, Phường 3, Quận 3, Hồ Chí Minh
    6 Tông Đản, Lý Thái Tổ, Quận Hoàn Kiếm, Hà Nội
    54 Pháo Đài Láng, Láng Thượng, Quận Đống Đa, Hà Nội
    17 Trường Sơn, Phường 15, Quận Tân Bình, Hồ Chí Minh
    Đại Mỗ, Quận Hà Đông, Hà Nội
    TK 49/21 Võ Văn Kiệt, phường Cầu Kho, Quận 1, Quận 1, Hồ Chí Minh
    346A Lê Quang Định, phường 4, Quận Gò Vấp, Hồ Chí Minh
    Số 65 ngõ 521 Trương Định, Quận Hoàng Mai, Hà Nội
    Ngõ 365 Đội Cấn, Cống Vị, Quận Ba Đình, Hà Nội
    019 Lô A Chung cư Nguyễn Thiện Thuật, Phường 1, Quận 3, Hồ Chí Minh
    68 Nguyễn Thiện Thuật, phường 2, Quận 3, Hồ Chí Minh
    1/2 Nguyễn Đình Khơi, Phường 4, Quận Tân Bình, Hồ Chí Minh
    102 H6 Láng Hạ - Ba Đình , Quận Ba Đình, Hà Nội
    I13 đường số 38, Phường 6, Quận 4, Hồ Chí Minh
    184 Bạch Mai, Bạch Mai, Quận Hai Bà Trưng, Hà Nội

  2. COPD is a collection of diseases which make breathing gradually more difficult. The most common symptoms of COPD are sputum production, shortness of breath, and a productive cough. These symptoms are present for a prolonged period of time. Stem cells COPD treatment

  3. Your information is really good and definitely that things are very useful. I'm impressed with your pleas to share much information with us.

    Hospital in Bryan

  4. pertussis is such a dangerous disease which is cause by bacterium Bordetella, Yes i am a pharmacist so that's why i know lot about this and my grand father had also have this disease

  5. Every weekend i used to pay a quick visit this web site, because i want enjoyment, for the reason that this this
    web page conations really nice funny data too.

    Feel free to visit my blog - 오피

  6. How to win at 메이저사이트추천 (21) with gambling expert Michael Wizard of Odds Shackleford

  7. This is one of the largest crypto exchanges that are being used by a lot of Americans to trade with digital currency. On the Coinbase login exchange, you cannot only trade with crypto but also store the purchased crypto by signing up for a Coinbase wallet. exchange | login | login

  8. This is one of the largest crypto exchanges that are being used by a lot of Americans to trade with digital currency. On the Coinbase login exchange, you cannot only trade with crypto but also store the purchased crypto by signing up for a Coinbase wallet. coinbase pro login | coinbase login |

  9. A Phantom wallet is by far considered the best crypto wallet along with several others on the list. So, the sub-topics given below will let you have an insight on what makes this wallet shine from the rest, is it safe, and how to connect it with an exodus wallet.
    Phantom Wallet |
    Phantom Wallet |

  10. Thank you for sharing this good post, I am very impressed with your post, the information given is detailed and easy to understand. I will follow your next post often.

  11. Šis komplekts ir 100% kokvilna un ērti valkājams,
    Katrs komplekts ir iesaiņots atsevišķi.

    Komplektā ietilpst:
    1 t-krekls ar īsām piedurknēm,
    1 bukse,
    1 pāris zeķu un

    Izmērs: XXL
    Cena: € 1.92 / komplekts
    Iepakojums: 60 komplekti / kaste Kokvilnas apakšveļas komplekts bez dvieļa

  12. Dunkin' Donuts offers incredible tasting food and drinks that will keep you running all through your bustling day. Refuel with our incredible espresso, or begin your day with a good, fulfilling breakfast sandwich. There are presently more ways of fulfilling your craving than any other time, specially made only the manner in which you like. The Dunkin' Donuts Card is a helpful ordinary method for paying for all your DD top choices and is acknowledged at any taking part Dunkin' Donuts café. dunkin donuts gift card

  13. When I read your article on this topic, the first thought seems profound and difficult. There is also a bulletin board for discussion of articles and photos similar to this topic on my site, but I would like to visit once when I have time to discuss this topiccc.동해출장안마

  14. This comment has been removed by the author.


  15. I would really like to thanks for the efforts you've got made in writing this post.


  16. This blog is providing valuable and unique information.

  17. I want to receive this kind of knowledge every day. I will follow your article.


  18. This is a very good post which I really enjoy reading.

  19. Absolutely loving my Mi Earphone USA ! The sound quality is exceptional, and they fit so comfortably in my ears. Highly recommend these earphones to all music enthusiasts out there!

  20. I'm sorry, but your request seems to be unclear. Are you looking for comments or information related to "primary.pinnaclehealth"? If you can provide more context or details, I'd be happy to help you with your request.Accidente de Camión Troncos

  21. As of my last knowledge update in September 2021, PinnacleHealth, also known as UPMC Pinnacle, was a healthcare system based in Central Pennsylvania, affiliated with the University of Pittsburgh Medical Center (UPMC). Please note that healthcare systems and organizations can change over time, so it's a good idea to verify the latest information through official sources and recent reviews if you are considering using their services. Here is a general overview of PinnacleHealth based on its known characteristics up to that point.
    Abogado FLSA

  22. Privacy has never looked this good!'s switchable glass is a game-changer for modern living.

  23. Accidente mortal de Motocicleta en Virginia Beach PinnacleHealth Medical Group is a healthcare provider known for its quality care, diverse specialties, professional staff, convenience, and mixed customer service experiences. Patients appreciate the group's expertise and professionalism. However, there is room for improvement in customer service, communication, wait times, insurance acceptance, and trustworthiness. While some patients appreciate the group's ability to provide quick access to appointments, others face delays. The group's reputation is based on its reliability in its community, but some aspects may need improvement. Overall, the group's strengths lie in its quality care and diverse specialties, but some areas may need improvement based on individual patient experiences.

  24. The pertussis culture has returned negative, emphasizing the importance of vaccinations and maintaining herd immunity. As a family nurse practitioner, your dual perspective as both a healthcare provider and a parent is invaluable. Your information is crucial for raising awareness about the resurgence of pertussis and preventing it. The resurgence of pertussis serves as a reminder of the need to maintain collective immunity, not just personal protection but also safeguarding vulnerable members of our community. Dispelling myths and misconceptions about vaccinations is a challenge in healthcare. Routine immunizations are essential for building a strong defense against preventable diseases. The persistent cough of your son serves as a reminder of the urgency of vaccinations and the responsibility to protect ourselves and those around us. Getting updated with a Tdap vaccine is a simple yet powerful step in that direction.Ley de Accidentes de Motocicleta

  25. Hopewell Traffic Lawyer
    The article provides a thorough overview of Pertussis, discussing its causes, symptoms, and potential preventive measures. It highlights the importance of early detection and treatment, emphasizing the need for healthcare professionals for personalized advice. The article also provides a historical context of the disease and its impact on communities. It also discusses the effectiveness of vaccination strategies in preventing Pertussis and encourages readers to actively participate in public health by raising awareness and promoting vaccination.

  26. The great content in this site good article also thanks for the information Abogado de Tráfico Hanover Virginia