Erickson Tribune

Wind Crest

UPDATED: Friday, November 09, 2007

Stop shingles before it starts

Posted on Monday, October 29, 2007
 

By Laurie Whittier
THE ERICKSON TRIBUNE

More than 90% of  American adults have had chicken pox, putting them at risk for Herpes Zoster, better known as shingles. In response, Wind Crest’s on-site doctor has moved quickly to provide vaccination talks and clinics for residents and reserved Priority List members.

Wind Crest’s medical center also assists with getting insurance coverage information with help from nearby ClearSpring Pharmacy. ClearSpring is partnering with the community to administer the vaccines.

According to Wind Crest’s Dr. Patrick Roney, most people over the age of 60 are candidates. “Shingles is caused by the varicella-zoster virus, the same virus that causes chicken pox,” he says. Early on, it causes a blistering rash on an arm, leg, torso, chest, or face—among other symptoms.

Age, stress are triggers
“This virus seems to lie dormant in certain nerve cells for decades after someone has contracted chicken pox,” Roney says. As immune systems weaken due to age, illness, and even stress, the virus can reactivate as shingles. One out of two Americans who live to age 85 will contract it, he says.

Even worse than the primary symptoms is the post herpetic neuralgia that is experienced by one in five sufferers, he says. This burning nerve pain can last for months or even years.

A shot worth getting
Shirley Greer, who now lives at Wind Crest, is one of the unlucky 20% who suffer this long-term nerve pain. “It’s been six years since I contracted shingles, and I still have the pain just about every day,” Greer says. “It’s not fun, and I wouldn’t wish it on anyone. I’d certainly recommend that people our age get this vaccine—even if they have to pay for it themselves,” she adds.

Approved by the FDA in the spring of 2006, the Zostavax vaccine is believed to provide protection against shingles for around five years—although other experts believe its immunity may last decades. Something that remains unknown is whether people who have had shingles benefit from the vaccine to prevent another outbreak.


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“To be on the safe side, I would recommend that these people be vaccinated,” Roney says. This vaccination program was adopted after Erickson HealthSM did a pilot of this program at two other Erickson communities last winter, says Roney. “It’s slated to be done at all communities at some point, but we wanted to be aggressive about this and start it now.”

30-minute expiration
Unlike most vaccines, doctors cannot purchase the shingles vaccine ahead of time, says Roney. Rather, most patients have to request and purchase it from a pharmacy. Roney says the process is easier for Wind Crest residents and Priority List members due to the partnership between ClearSpring Pharmacy and the community.

At Wind Crest, those people sign up at the medical center, fill out an insurance form, and the process begins. In the event that insurance coverage is denied, the shot is still available out-of-pocket for around $200.

Since many outside primary care doctors avoid Medicare, Roney says there’s a smaller window of people they would vaccinate. But since Medicare is  welcome at Wind Crest, this isn’t an issue.

Educational talks about shingles—as well as vaccination clinics—are offered semi-regularly at Wind Crest. The second round of vaccinations will take place just after Thanksgiving.



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