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So, every winter a lot of kids come in

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and see me because they've got

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flu and I've got to make a decision.

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For each one of them, I've got to decide

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Am I going to get the flu test in this particular child?

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So, when I see a kid that's sick

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here's what I'm thinking

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I'm thinking, well, the first thing I've got to decide is

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do I really suspect the flu?

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This is when I ask a lot of questions

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of the person who's sick or the parents.

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I say, "Well, when did it start?"

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"Was it abrupt?"

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That's my first clue that it really is the flu.

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The second clue is, "How long did it last?"

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They might say, "You know, we're in the middle of it.

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It's been a few days."

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But if they tell me it's been weeks and weeks

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and months and months, then of course I'm thinking

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it's something else. It's not the flu then.

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And, finally, if they tell me that they're having

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respiratory symptoms, then that's of course really important.

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That sounds like the flu.

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But, they also have to have some constitutional symptoms.

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They have to have a fever or fatigue to convince me

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that this sounds like the flu.