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The Honolulu Advertiser
Posted on: Monday, December 12, 2005

How to tell if you should call in sick

By SAMEH FAHMY
Nashville Tennessean

The alarm clock jolts you awake, and within minutes you realize that although you don't know exactly what's wrong, something isn't right.

You have a runny nose, a cough and possibly a fever.

Should you call in sick to work?

Dr. Robert Forti, an internal medicine physician at Nashville Medical Group, Baptist Hospital, says that if you have a cold or the flu, chances are you'll be just fine in a few days.

Your decision about whether to go to work is more about the health of your friends and co-workers than your health, he says.

"What you absolutely don't want to do is put other people in peril for catching that same illness," he says.

With that in mind, he's helped us compile this chart to help you decide whether to call in sick. When in doubt, of course, check with your doctor.

IF YOU HAVE AN UPSET STOMACH OR DIARRHEA

  • Ask yourself: Am I having more than four or five bowel movements in a day?

  • If yes: You likely have something that can be spread to your co-workers, despite your hand-washing. "People's hand-washing is always better in their own eyes than in reality," Forti says.

  • If no: You're OK to go to work. Just wash your hands thoroughly and regularly.

    IF YOU HAVE A FEVER

  • Ask yourself: Is it greater than 100.5 degrees?

  • If yes: Stay home or risk infecting others.

  • If no: It's probably safe for you to go to work.

    IF YOU HAVE A COUGH

  • Ask yourself: Is it productive? (Meaning, is stuff coming out?)

  • If yes: These secretions are likely to infect others. Please stay home.

  • If no: If you have a dry cough that occurs toward the end of your cold, then you're no longer infectious. Go to work.

    IF YOU HAVE A SORE THROAT

  • Ask yourself: Does it hurt to speak or breathe?

  • If yes: Chances are you're not going to be productive enough to justify missing out on the much-needed bed rest required to recover. Stay home.

  • If no: Go to work, but keep citrus cough drops handy and don't share cups, utensils, pens or other items with your co-workers.

    IF YOU HAVE SNIFFLES OR A RUNNY NOSE

  • Ask yourself: Can I breathe through my nose?

  • If yes: Your symptoms aren't too severe, so you're probably OK to go to work. Just wash your hands regularly.

  • If no: If you're constantly using tissues, you're likely to infect someone else after they touch a doorknob, tabletop or keyboard that you have touched. Stay home.

    A SPECIAL WORD ON THE FLU

    People often wonder how to tell the difference between a cold and the flu, but Forti says it's simple:

    "The flu is very characteristic," he says. "You feel like you've run into a brick wall."

    A sudden onset of high fever, body aches and fatigue with a cough and sore throat are sure signs of the flu. If you have the flu, then absolutely do not go to work or school.

    "Those people really need to be out of contact with other people," Forti says, "because that's a highly transmissible (illness) that results in a lot of lost work and productivity for the public and the community as a whole."