Droplet Precautions

Though Wolf Blitzer's Pandemicfest 2009 seems to have been toned down in recent weeks, neither the H1N1 swine flu virus nor its associated hysteria have gone away.  In the Big City ED, like other EDs across the country I would imagine, we have strict protocols about testing and isolating suspected cases.  In most instances, regular droplet precautions suffice.  

Despite being given a mask after presenting with flu-like symptoms, however, a recent patient decided that better protection could be provided by simply wearing winter clothes.  

Yes, because in the middle of June, nothing will keep those piggy germs away better than a ski jacket, wool hat, and a thick scarf.  In fact, I think I read that in the most recent issue of JAMA.