Monday, February 28, 2011

Goodbye February

We are still seeing new flu cases.
Some of the patients have had the vaccine. The tests in the lab are showing Flu type B.
The A and H1N1 strains that are going around have not gotten through to the vaccinated patients.
We are still seeing some strep throat.
We are still seeing a vomiting/diarrhea viral syndrome that is gone within a day or so.
There are the ever present coughs and colds.
Stay well
~Nurse Judy

Tuesday, February 22, 2011

February 22nd

I hope everyone had a nice 3 day weekend. A great many of our patients were in the after hours clinic.
There is lots of illness out there. Nothing much new or unexpected.
We have a lot of sore throats. About half of them are positive for strep. It is worth checking! Most of the time strep does not come along with congestion, but this week I have had some congested kids end up testing positive.
We are seeing a lot of kids with a flu like syndrome, fever, congestion, watery eyes. Most of them are improving after 3 or 4 days.
There is the ever present tummy bug around. This has been a tough one on several or our patients who did get dehydrated and ended up in the ER for IV fluids.
The important thing to watch out for with this is your child's energy level and urine output.
A happy energetic child who is peeing is managing.. and your job is to give small frequent amounts of an electrolyte fluid ( or breast milk) until they are no longer vomiting. A lethargic child who is not passing urine needs to be evaluated.
Stay well
~Nurse judy

Thursday, February 17, 2011

February 17th

This week in the office we are seeing lots of strep throat.
We are seeing some flu cases as well as plenty of coughs and colds.
There seems to be plenty of kids with a mild tummy bug as well.
I am seeing some long lasting viral rashes with happy kids. I am betting that these are part of the slap cheek spike that we have seen lately.

We are closed on Monday for the 3 day weekend, so call early on Friday if you have concerns, I expect the afternoon to be fairly busy.
~Nurse Judy

Monday, February 7, 2011

February 7th

The nice weather seems to be helping out a bit and things are not quite as wild and crazy as they were last week.
At last weeks end we were seeing lots of strep throat and a viral fever that was lasting about 5 days.
Today we are still seeing that seeminly never ending cough. Two of our patients have pneumonia (although they are doing fine on antibiotics)
We saw one case of probable chicken pox ( we sure don't see that as much as we used to)
There is still some vomiting.
I thought I was starting to see some cases of slap cheek, but no more have surfaced yet today. I will let you know if I get more signs that it is starting to spread. (Dr Kaplan says she has actually seen quite a few cases, so I am guessing that it is here)

Our nvpedi email got spammed...and so if you were one of the lucky folks who got a free movie ticket offer from me this morning.. delete delete delete
Enjoy the dry weather
~Nurse Judy