Would you recommend flumist? How does flumist work and can you recommend it?

I never do. Flu mist is a made by combining weakened strains of the flu virus, squirting it in your nose, & letting it create a minor lung infection to cross into your blood. It is not approved for very young patients or those with asthma or several other conditions. It is certainly attractive to needle phobic patients & kids, but I quit using it in my office after a kid had an asthma episode a day later.
It is appropriate. For many individuals. It is a vaccine for influenza administered by inhalation instead of injection. However, it is a live virus so it should not be administered to those who have a compromised immune system, or who live with such patients.