Tuesday, January 21, 2014

Wow...so much stuff

We often come back from a three day weekend with a heavy volume of calls, but today was a record breaker. We have had two nurses in today on the phone non stop returning calls and we are barely getting through them. Thanks to all of you who have been waiting patiently.
As always, I remind you that for an emergency call 911.
If it is not super urgent, but you are quite worried, feel free to be a squeaky wheel and call again if a few hours have passed since your first call. That will get you on to the top of the pile.

As I mentioned yesterday, the big winner today is still the tummy bug.
Parents are getting this and this bug seems to be lasting a little longer than the strain that was around a few weeks ago. This might be the Norovirus.

Treatment, alas is the same. Focus on Hydration.

http://www.nursejudynvp.blogspot.com/2013/03/tummy-bugs-101.html

We are also absolutely seeing Hand Foot Mouth

http://www.nursejudynvp.blogspot.com/2013/06/hand-foot-mouth-and-butt-virus.html

We are seeing some strep throat
http://www.nursejudynvp.blogspot.com/2014/01/strep-throat.html

And of course loads of nasty coughs and colds

http://www.nursejudynvp.blogspot.com/2013/08/dealing-with-those-pesky-colds-and.html

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On a completely different topic,
I am starting to get requests from adult patients who need to have their MMR and Hep B status for  grad schools and jobs

When a patient moves along from us (usually at the age of 18 or when through college) we move the inactive charts down to our basement. We are legally required to hold on to them for 7 years. After that, with space being such a premium, they may be shredded.
It is a good idea to have a record of your child's/young Adult's immunizations.
The yellow cards that you are given are considered official documents. If your child is 'aging out' of our practice make sure that you are the guardian of this info!




Monday, January 20, 2014

Monday check in MLK day/ Check your insurance

Our office is closed today, so if you have any illnesses or concerns that can't wait until tomorrow, call the after hours clinic 387-9293.

I did check emails this weekend, and based on those alone, the tummy bug is still out there making folks miserable.
I am also seeing some Hand Food Mouth.

I will chime in with an update tomorrow if there is anything else making the rounds

It has come to our attention that this year is fraught with insurance confusion. While covered California may be a good step in the right direction for many folks, it is not free of confusion,

We will be updating the insurance page on our Web site this month to try to clarify which plans we are taking part of, but please assume nothing.
If your insurance has changed this year, please call your plan to see if we are listed as providers.

I have quite a few folks who are on my email list to receive my weekly Nurse Judy Posts.
More than one person found this weeks post in the spam folder.
I wonder what content triggered that?? Hmmm,
But here it is for those who missed it.
It is one of my favorite Parenting tools.

Teach your child to be a problem solver


Remember that we are holding a Flu shot clinic on Wednesday evening January 29th from 6:00-8:00 pm





Tuesday, January 14, 2014

Flu shot clinic/ some other cool resources

The flu news is scaring folks into getting the shot.
We have plenty of vaccine but are challenged accommodating all the patients that want to be fit in, so

We are adding an extra flu vaccine clinic.

We will be offering the vaccine to the Noe Valley patients and families on January 29th Wednesday evening from 6:00 pm -8:00 pm.
There is no appointment needed.

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 For those of you who are interested...
Make a New Year’s Commitment to Your Family’s Health!
Packard Pediatric Weight Control Program
Spaces Available for January Groups in English and Spanish.


Registration for the Packard Children’s Weight Control Program’s fall groups
( for 8-15 year olds) is now still in process!
(No physician’s referral needed, please ask interested families to call

·      Class options for groups in English: Tuesday 4:30-6:00pm, and 6:00-7:30 pm.
·      Class options for groups in Spanish: Wednesday at 6 PM
·      Classes will run every week for six months.

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Also, I got wind of a very cool cooking class for kids who have allergies


Cooking Adventures For Kids with Food Allergies

In search of kids with food allergies ages 8-11 to sign up for cooking classes

In a very special three-part series of cooking classes, local moms and cookbook writers Anna Fabian and Megan Pickett will walk 10 kids (8-11 year olds) with food allergies through a few easy recipes they can master and replicate at home. Inspired by their own children's challenges with food allergies, Anna and Megan take a fun-loving approach to food that is safe and inclusive for all participants (free of 9 major allergens). The afternoon will be jam-packed with tasty recipes, hands-on learning, games, and chances to snack on our creations. All classes are held at 18 Reasons in San Francisco

Session 1: January 25  (2-4pm)
Session 2: March 1    (2-4pm)
Session 3: March 29 (2-4pm)

$45 per class

For more information or to Buy tickets http://freeforallcookingadventures.brownpapertickets.com

 

Monday, January 13, 2014

Monday Update January 13th

The H1N1 flu is around and it is quite a scary one.
Please get vaccinated if you haven't yet. Hearing news about otherwise healthy young people dying from the influenza is heart breaking.

This years flu shot DOES protect against this killer strain.
The vaccine is not a perfect fit and there are other strains around, but they are not quite as deadly.

It is true that some places are out of flu vaccine, but it remains easy enough to find .
We still have it is stock but are reserving it for Noe Valley Pediatrics patients and families.

While I hear rumors about the flu, we actually haven't been seeing all that much of it.
by FAR the most frequent call we have been getting today is about stomach woes.
There is tons of vomiting and diarrhea around
http://nursejudynvp.blogspot.com/2013/03/tummy-bugs-101.html

We have also seen some Strep Throat
http://nursejudynvp.blogspot.com/2014/01/strep-throat.html


Of course we have loads of plain old miserable coughs and colds around as well.
One of the things I think is worth having when you are dealing with your child's runny nose is the "NOSE FRIDA" nasal aspirator.
We actually do carry those in the office as a convenience (cost of $20), but when we go through this box I don't think we will reorder since I believe they easily obtainable elsewhere. (Whole foods and Natural Resources)

Stay well.
Judy

Monday, January 6, 2014

Monday update January 6th

Happy New Year.
I hope all of our travelers are safely home.Unfortunately I know of more than one family who had quite a time of it getting  home because of the storms.

Last week we were seeing a tremendous amount of Strep Throat
http://www.nursejudynvp.blogspot.com/2014/01/strep-throat.html

For what it is worth, today most of the tests came back negative but it is still worth checking if the symptoms fit.

We are seeing a ton of kids with the standard cough/ cold/ fever
We have a bunch of kids with conjunctivitis.
I am still talking to quite a few of our  families with some tummy symptoms, but that doesn't seem as prevalent as it was last week.

I am reading frightening reports about the H1N1 flu circulating about. That is a potentially deadly strain that is covered by this years vaccine. If you haven't gotten your shot yet, it is NOT too late.

Stay Well,
Nurse Judy