Monday, March 26, 2012

Monday March 26th

There are a lot of fevers going around.
We have seen many kids with ear infections so if your child is fussy with the fever It is worth taking a look in the ears.
Many ear infections will go away on their own, however once in a while an untreated ear infection can cause the eardrum to rupture ( you will see drainage from the ear if this happens) frequent ruptures can lead to hearing loss.
If we are suspicious about an ear infection it is always a good idea to look.
An ear infection that has a high fever and a miserable kid is usually worth treating.

We are still seeing cases of RSV and Flu.
I have some reports of mild vomiting and diarrhea.

I had to cancel my illness class last week and MIGHT reschedule for this week on Wednesday evening the 28th if there is enough interest with such short notice
If you are interested email nursejudynvp@yahoo.com

Stay well
Judy

Monday, March 19, 2012

Monday March 19th

Wow, what ISN'T going around?!
We are seeing a lot of kids with a very persistent colds and coughs. In some cases, this illness has been lingering for 2 weeks or more
With the sicker looking or very young patients we are testing kids and coming up with positive results for both RSV and FLU.
The flu has had fevers lasting for a week in some cases.
If you or your child has been diagnosed with the flu, it is somewhat reassuring to know that the week long fever isn't necessarily something to worry about.
If your child has not been evaluated five days of fever is the longest I would want to let you wait before being seen.
We are seeing some strep throat and some hand foot mouth
We have been seeing some fairly nasty cases of croup.

stay well
Judy

Tuesday, March 13, 2012

solid foods class correction

Someone kindly pointed out that I have an error in an earlier post.
My next solid foods class will be March 31st ( Saturday morning) at 10:30 am
The illness class is March 21st (Wednesday evening) at 7:45 pm
There is currently a bit of room left in both classes
email nursejudynvp@yahoo.com to reserve a spot or ask for more info

Monday, March 12, 2012

March 12th update

Flu is here.
We have seen both type A and type B showing up in our flu tests.
Interestingly the kids with type B have been vaccinated, so this years strain didn't quite match.
These kids do have high fevers and are very low energy. The fevers have lasted for 5 days or so. There is some sore throat and congestion. Most of the concern has been about the fevers lasting so long, otherwise the kids haven't seen sick enough to cause too much concern.
We are still seeing RSV. RSV is everywhere. Most of the folks with it are presenting with just a really rotten cold and cough, Some of our patients ( of all ages) have been just slammed with it and have ended up in the hospital.
There is also the basic cold and cough out there which has presented with a lot of watery red rimmed eyes. This has gone away with nothing other than typical symptomatic treatment.
I still have some kids out there with diarrhea, but that is significantly decreased..
Dr Hurd worked the after hours clinic this weekend. She reports seeing a few cases of hand/foot/mouth and lots of sore throats.
stay well
Judy

Friday, March 2, 2012

Friday update/ next classes

I will be out of the office next week, so I am going to do a Friday update and will post again on the 12th.
This week we have seen a lot of strep throat.
I have some cases of hand foot mouth.
There is a cough that lingers for weeks.
RSV remains prevalent and we have had several babies hospitalized with it. ( they are doing okay)
We are finally seeing a slow down of the diarrhea, although some of the patients are having a hard time shaking it.
Typically with the diarrhea, they may be done with the virus but have a very sensitive and irritated gut. Time will fix this, but for those of you plagued with this, stay on the gentle non dairy diet, probiotics are helpful. Benefiber is also useful.

My illness class has 2 spots left. It will be held on March 21st at 7:45 pm
I just scheduled my next solid foods class..that will be March 21st ( Sat morning) at 10:00 am..reservations are needed. nursejudynvp@yahoo.com
have a healthy week
Judy