I have my next safety class scheduled for July 21st ( Wednesday evening) at 7:30 pm
Some of the things that this class deals with includes basic first aid, head injuries, burns, choking rescue and tips for staying calm in an emergency.
The class runs about 90 minutes and costs $20/person (sliding scale available)
If you are interested in signing up
visit www.nursejudy.net to register..
Wednesday, June 30, 2010
Monday, June 28, 2010
Weekly update
Pertussis is still causing a buzz.
Our best method with coping with this outbreak is to make sure that we vaccinate our children as soon as they are old enough ( usually at the 2 month visit).
All parents and care givers should also have the Tdap.
Walgreen is now giving it for $65/shot.
We charge $50. We will not bill your insurance but we will give you something that you can submit yourselves.
We have a few patients in the practice who have been exposed to Pertussis at school. They all have mildly irritating coughs and have been treated with zithromax just in case.
We also have a young patient that just came down with a whopping case of chicken pox. Her mom is frankly puzzled about where she could have been exposed...but it is out there.
We generally vaccinate for it at the 15 month visit.
If you child has not had the protection, think long and hard before you subject them to suffering through a week of itchy lesions.
As far as other illnesses, I had several patients calling about fevers, some conjunctivitis and a bit of strep.
stay well
~Nurse judy
Our best method with coping with this outbreak is to make sure that we vaccinate our children as soon as they are old enough ( usually at the 2 month visit).
All parents and care givers should also have the Tdap.
Walgreen is now giving it for $65/shot.
We charge $50. We will not bill your insurance but we will give you something that you can submit yourselves.
We have a few patients in the practice who have been exposed to Pertussis at school. They all have mildly irritating coughs and have been treated with zithromax just in case.
We also have a young patient that just came down with a whopping case of chicken pox. Her mom is frankly puzzled about where she could have been exposed...but it is out there.
We generally vaccinate for it at the 15 month visit.
If you child has not had the protection, think long and hard before you subject them to suffering through a week of itchy lesions.
As far as other illnesses, I had several patients calling about fevers, some conjunctivitis and a bit of strep.
stay well
~Nurse judy
Monday, June 21, 2010
Summer has started
Things seem mellower today.
There are some stragglers with the 5 day virus ( fever/ diarrhea/ snotty nose).
Not a whole lot of excitement otherwise.
With hot weather approaching (for anyone who steps foot out of SF that is)
pay attention to sun protection and hydration!
stay well
~Nurse Judy
There are some stragglers with the 5 day virus ( fever/ diarrhea/ snotty nose).
Not a whole lot of excitement otherwise.
With hot weather approaching (for anyone who steps foot out of SF that is)
pay attention to sun protection and hydration!
stay well
~Nurse Judy
Thursday, June 17, 2010
Tummy Bug alert
The calls about a tummy bug have taken a sharp spike today.. I spent the entire morning talking about poop!
The kids have generally started with some vomiting and moved along to soft funky stools. Some of the kids have had some moderate fevers with this as well.
To Review...our main issue is making sure your child stays hydrated.
A dehydrated child is very droopy with decreased urine. If you have a perky kid with wet diapers you are doing okay.
AS far as diet goes, breast milk or pedialyte are the perfect fluids...Give small frequent amounts ( If they vomit after an ounce..try 1/2 ounce..if they can't keep that down give a spoonful etc)
Once they are retaining fluids and they express interest in eating go ahead and start with Bland starchy stuff that is age appropriate..
Things like Bananas, applesauce, rice, pasta, and boiled chicken are usually easy to digest.
Avoid dairy except for yogurt for a few days or until the tummy is clearly back to normal.
If you go back on milk too quickly you often will see the diarrhea come right back
I hope you all manage to avoid this one!
~nurse Judy
The kids have generally started with some vomiting and moved along to soft funky stools. Some of the kids have had some moderate fevers with this as well.
To Review...our main issue is making sure your child stays hydrated.
A dehydrated child is very droopy with decreased urine. If you have a perky kid with wet diapers you are doing okay.
AS far as diet goes, breast milk or pedialyte are the perfect fluids...Give small frequent amounts ( If they vomit after an ounce..try 1/2 ounce..if they can't keep that down give a spoonful etc)
Once they are retaining fluids and they express interest in eating go ahead and start with Bland starchy stuff that is age appropriate..
Things like Bananas, applesauce, rice, pasta, and boiled chicken are usually easy to digest.
Avoid dairy except for yogurt for a few days or until the tummy is clearly back to normal.
If you go back on milk too quickly you often will see the diarrhea come right back
I hope you all manage to avoid this one!
~nurse Judy
Monday, June 14, 2010
Mid June Update
Good Morning,
We have a report from the upper Noe Valley playground that there has been a visiting cat in the sand box.
They are dealing with this and you can check out noevalleyreccenter.com/updates
We have had a few patients with spots that could be caused by flea bites...tis the season. Ever if you don't have pets in your house, your child can get bitten from being in a sandbox or sitting in the grass.
We also have a couple of cases of what appears to be our old friend the Hand foot mouth virus.
That nasty viral fever is still around, causing fussy kids with on and off fevers for about 4 or 5 days. Some kids are having mild tummy ailments with or without fevers.
Lots of fairly mild but persistent cold symptoms have rounded out the calls this morning.
Stay well
~Nurse Judy
We have a report from the upper Noe Valley playground that there has been a visiting cat in the sand box.
They are dealing with this and you can check out noevalleyreccenter.com/updates
We have had a few patients with spots that could be caused by flea bites...tis the season. Ever if you don't have pets in your house, your child can get bitten from being in a sandbox or sitting in the grass.
We also have a couple of cases of what appears to be our old friend the Hand foot mouth virus.
That nasty viral fever is still around, causing fussy kids with on and off fevers for about 4 or 5 days. Some kids are having mild tummy ailments with or without fevers.
Lots of fairly mild but persistent cold symptoms have rounded out the calls this morning.
Stay well
~Nurse Judy
Tuesday, June 8, 2010
June 8th
I am waiting for Summer to start and for all this illness to fade away.
The Viral syndrome with the high fever is still hanging around.
We are seeing lots of colds and coughs as well.
Strep throat and conjunctivitis round out the most frequent complaints.
I will check in next week or sooner if something exciting comes along
stay well
~Nurse Judy
The Viral syndrome with the high fever is still hanging around.
We are seeing lots of colds and coughs as well.
Strep throat and conjunctivitis round out the most frequent complaints.
I will check in next week or sooner if something exciting comes along
stay well
~Nurse Judy
Tuesday, June 1, 2010
Welcome to June
I hope everyone had a nice 3 day weekend.
We are still seeing the high fever virus that lingers for about 4 days.
We are also seeing plenty of strep throat, lots of rashes and a persistent cough.
I have seen a couple kids today with significantly red and swollen eyes, likely from a bug bite.
If your child seems well, no fever, vision not impacted..it is okay to do a trial of benedryl and a cool compress.
Any swollen eye associated with an illness of a fever needs to be seen that same day
Just to review...
*Since strep does seem to be around, if your child is over 2 and has a sore throat and fever without a lot of congestion, we should check them for strep
*Any fever that is moving into day 3 merits a call to the doctor to at least touch base and make a plan
*We need to pay prompt attention to any rash that is Purplish, comes with a fever, is oozy, or is painful or itchy
With other rashes it is okay to take a wait and see approach...if several days go by without any signs of fading then certainly we should take a look
*coughs can hang on for a long time.
If there is any possibility of a wheeze, or labored breathing we will want to take a listen.
~stay well
Nurse Judy
We are still seeing the high fever virus that lingers for about 4 days.
We are also seeing plenty of strep throat, lots of rashes and a persistent cough.
I have seen a couple kids today with significantly red and swollen eyes, likely from a bug bite.
If your child seems well, no fever, vision not impacted..it is okay to do a trial of benedryl and a cool compress.
Any swollen eye associated with an illness of a fever needs to be seen that same day
Just to review...
*Since strep does seem to be around, if your child is over 2 and has a sore throat and fever without a lot of congestion, we should check them for strep
*Any fever that is moving into day 3 merits a call to the doctor to at least touch base and make a plan
*We need to pay prompt attention to any rash that is Purplish, comes with a fever, is oozy, or is painful or itchy
With other rashes it is okay to take a wait and see approach...if several days go by without any signs of fading then certainly we should take a look
*coughs can hang on for a long time.
If there is any possibility of a wheeze, or labored breathing we will want to take a listen.
~stay well
Nurse Judy
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