Monday Update December 17th

This weeks is fairly similar to last week.
We haven't had any more positive flu tests, but there are a lot of "flu Type" viruses going around.
We are seeing moderate fevers with congestion lasting about 4 days.

There are so many coughs and colds. I am seeing quite a bit of croup. A handful of these folks have ended up in the emergency room.
If your child wakes up with a "seal like" barky cough, your first step is the steamy bathroom. Sit them on your lap in the steam and calmly sing for a few moments. More often than not this will ease the breathing. If they still feel like the respiration s are labored, a trip to the ER is reasonable.

We are seeing a bit more wheezing this week. The nebulizers have been busy.
Unless you are fully comfortable treating a repeat wheezer, we want to see them in the office. If you are a nebulizer owner, make sure you have medications that have not expired and fresh tubing for the season.

The tummy bug is still making it's rounds. Again a handful of patients have lost the hydration battle and have ended up needing an IV,
A dehydrated child has significantly decreased energy and is not peeing a lot.
If they are running around and laughing ( some of them are..they feel SO much better after they vomit) the plan is to give them tiny amounts of clear fluids or breast milk at a time until the stomach seems settled.


I have a few kids with hand foot mouth and some with mystery rashes and fevers. I think we are starting to see some "slap Cheek" around which can have those symptoms on and off.

We will be having Holiday hours next week.
We will be available in the morning on December 24th for acute care only.
We are closed on the 25th

Reminder that we will be having a shot clinic on January 5th

For parents of kids over 2 I do have a parenting class on the calendar for February 13th in the evening.
This is a fun little workshop that deals with creative consequences, rewards, problem solving, tantrums, meal times, bed times etc.
RSVP is needed you can contact me about classes through the nurseJudy.com website.

If any of you want to get on my direct mailing list let me know
Judy