If your child is not breathing, is bleeding severely or has any other life threatening emergency call 911. Otherwise call us as we can help you avoid many ER visits. Even if we do feel you need to go to the ER we like to know what is going on with our patients so that we may continue to give you the best care for your child.
A: A fever is a temperature over 100.4 F. If your child is less than 2 months old, please call us right away. If your child is at least 2 months old up to 6 months, and otherwise acting okay, you may give an age specific dose of Tylenol (NO MOTRIN) and call our office as soon as possible for an appointment. If your child is 6 months or older, you may give Tylenol or Motrin. Fever is a sign of illness and accompanies many types of illness. It is not an indicator of how sick your child is. In fact with many cold viruses fever may persist for several days. If you have any concerns call at any time otherwise if a fever subsides with medication and your child is acting okay you can wait to call till your child has had fever for more than 24 hours.
A: Yes, but we ask that you call earlier in the day to ensure that we can fit you into the schedule. At this time we are closed on the weekends but please call - if the doctor is available she may make some exceptions or advise you about care options for the weekend.
A: Typically time and rest will be the best treatment. Colds will usually worsen over the first 2-3 days. Decongestants are not typically recommended for children and infants. They may be tried for adolescents. For infants the use of a nasal suction and humidifier can be very helpful in helping clear the nose as well as an elevated position for sleep. For a child over the age of 1 year you may continue use of a humidifier and suction if they will let you. You may use Vicks to help open the nasal passages. If your child has a cough especially at night raise the head of the bed and you may give honey as it has been shown to be more helpful in alleviating cough than a cough medicine in children. Remember never use honey in a child less than 1 yo. Although it is normal for a cold to last a week please call us if symptoms are not improving after 3 days or if there has been fever >24 hours or your child complains of ear pain.
A: YES. In the US vaccines are very well studied, safe and strictly regulated by both the U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). There are many false statements on the internet linking certain vaccines to specific diseases. Vaccines prevent severe diseases. In fact there have been recent large outbreaks of measles and whooping cough in unvaccinated populations.
A: Stool frequency does not define constipation- consistency does. After the first month of life an exclusively breast fed baby can 5-6 days without a BM, a formula fed baby can go 3 days. If the stools are fine then do nothing. If your child is having hard stools you will want to give 1-2 oz/day of apple, pear or prune juice. If your child continues to have hard stools call the office.
A: We get asked this question a lot. And it is a great question, but there are actually many good reasons why NOT to divide the waiting rooms. See this blog post here for info: Why separate waiting areas don't work.