Holiday Hours
We are closing early on Wednesday (NOON)
We are closed all day on Thursday and back in for business all day on Friday.
We are seeing a tremendous amount of respiratory issues. There are more cases of pneumonia than we usually see at one time.
Of course most of our kids don't have pneumonia, there are tons of kids with fevers, coughs and congestion that are dealing with a week or so of illness and then manage to shake it off with simply symptomatic treatment.
Here are some guidelines
If your child has a high fever and a rattly cough they should be seen.
If there is any fever over 102 that does not reduce to at least 101 an hour after meds, they need to be seen
Any fever lasting more than 4-5 days needs to be checked out
Any labored breathing needs to be seen same day.
I am also seeing a number of folks with a tummy bug. Most of the folks have been managing without coming in to the Doctor. The key is hydration. Probiotics, and avoiding dairy ( Except for breast milk) are also helpful.
There is still some Hand Foot Mouth going around.
http://www.nursejudynvp.blogspot.com/2014/12/tylenol-vs-advil-dosage-charts.html
Above is my most recent Nurse Judy Blog post.
You may want to book mark it for the dosage charts
Happy and Healthy New year to all.
Judy
Monday, December 29, 2014
Monday, December 22, 2014
Weekly update december 22
Holiday hours this week are as follows:
We are here with two docs working Monday and Tuesday all day.
We have 3 docs in Wednesday morning. We are closed in the afternoon.
We are closed on Thursday and back for a full day on Friday with 2 docs.
I thought today might be mellow because of so many travelers, but I was WRONG.
The phones have been quite busy and there are a lot of sick kids (and parents) out there.
There are loads of ear infections for some reason!
We are also seeing lots of cough and colds. The kids with reactive airways are wheezing and the nebulizers have been humming along all day in all of the rooms.
We have a few loaners that we use to send home with folks for a couple of days and I am putting out a call to please return them.
If you have a Noe Valley Nebulizer please email the nurse team nvpeds@gmail.com to let us know how you are doing and when you might be able to get it back to us.
If you need it for more than a few days, it may be worth getting you set up with one from Walgreens. This is usually covered by insurance and then you own it.
There is a tummy bug out there. I have a variety of kids with vomiting/ Tummy aches/ loose stools.
There are a bunch of kids with high fevers.
There is some Hand/Foot/ Mouth still circulating. It seems fairly mild.
I think I may be seeing Slap Cheek. I saw a few cases earlier in the month and then nothing, but I am suspicious that it is starting to be more wide spread
Happy Holidays to all.
Judy
We are here with two docs working Monday and Tuesday all day.
We have 3 docs in Wednesday morning. We are closed in the afternoon.
We are closed on Thursday and back for a full day on Friday with 2 docs.
I thought today might be mellow because of so many travelers, but I was WRONG.
The phones have been quite busy and there are a lot of sick kids (and parents) out there.
There are loads of ear infections for some reason!
We are also seeing lots of cough and colds. The kids with reactive airways are wheezing and the nebulizers have been humming along all day in all of the rooms.
We have a few loaners that we use to send home with folks for a couple of days and I am putting out a call to please return them.
If you have a Noe Valley Nebulizer please email the nurse team nvpeds@gmail.com to let us know how you are doing and when you might be able to get it back to us.
If you need it for more than a few days, it may be worth getting you set up with one from Walgreens. This is usually covered by insurance and then you own it.
There is a tummy bug out there. I have a variety of kids with vomiting/ Tummy aches/ loose stools.
There are a bunch of kids with high fevers.
There is some Hand/Foot/ Mouth still circulating. It seems fairly mild.
I think I may be seeing Slap Cheek. I saw a few cases earlier in the month and then nothing, but I am suspicious that it is starting to be more wide spread
Happy Holidays to all.
Judy
Monday, December 15, 2014
Monday Update 12/15/14
We had our first positive test for Influenza type A.
The patients was not vaccinated.
She presented in a way that normally would NOT have had us worried about the flu. Doing the test was a last ditch effort to figure out what the heck was going on with her, and sure enough it was positive.
She presented with fever, severe tummy ache, some vomiting, mild sore throat, mild cough.
We have had a lot of kids in here who we were SURE had the Flu and their tests have so far been negative. These kids have high fevers that are lasting for 5-6 days with congestion.
We do have RSV and lots of Strep throat making the rounds.
Other things making the list today are
croup
Diarrhea
vomiting
ear infections
hand/foot/mouth
bites
Insurance is changing for lots of folks at this time of year.
PLEASE PLEASE check your plans and make sure that we are on them.
Some companies have been shifting things around and making things difficult for everyone,
Safest thing is for you to call the number on your card.
If you have any questions, do check in with our biller 1-707-577-8044*
For those of you who do not get the Friday emails....Here is my last week post on Holiday safety
.http://www.nursejudynvp.blogspot.com/2014/12/next-week-winter-holidays-begin.html
Stay Dry!!!
Judy
The patients was not vaccinated.
She presented in a way that normally would NOT have had us worried about the flu. Doing the test was a last ditch effort to figure out what the heck was going on with her, and sure enough it was positive.
She presented with fever, severe tummy ache, some vomiting, mild sore throat, mild cough.
We have had a lot of kids in here who we were SURE had the Flu and their tests have so far been negative. These kids have high fevers that are lasting for 5-6 days with congestion.
We do have RSV and lots of Strep throat making the rounds.
Other things making the list today are
croup
Diarrhea
vomiting
ear infections
hand/foot/mouth
bites
Insurance is changing for lots of folks at this time of year.
PLEASE PLEASE check your plans and make sure that we are on them.
Some companies have been shifting things around and making things difficult for everyone,
Safest thing is for you to call the number on your card.
If you have any questions, do check in with our biller 1-707-577-8044*
For those of you who do not get the Friday emails....Here is my last week post on Holiday safety
.http://www.nursejudynvp.blogspot.com/2014/12/next-week-winter-holidays-begin.html
Stay Dry!!!
Judy
Monday, December 8, 2014
Weekly update December 8th/Insurance reminder
Of course the same day that we held our Saturday flu shot clinic, the media was announcing headlines about the flu vaccine being a poor match this season.
The suggestion is still for folks to get the vaccination for at least partial protection. There are often more than one strain that makes the rounds each season, so I would agree with that suggestion.
I actually have not had any positive cases of Flu in here yet.
I have a couple of kids with nasty high fevers for almost a week, they are congested and coughing.
It sure looks like flu, but the tests were negative.
There is a nasty "whatever it is" virus out there.
We are still seeing some strep throat.
Last week and continuing today are more calls about pinworms, so itchy butts or vaginal irritations should rule that out.
This week I am getting a spike in calls about loose stools.
We are coming to the time of year when many folks switch their insurance plans.
PLEASE PLEASE PLEASE check with your plan to make sure we are on it.
Your best bet is to call the number on your card, but if you have any conflicting information do check in with our biller Susie (you can click the link from our website)
Our receptionist are often not able to verify whether or not your plan is accepted here on the same day as the appointment.
Stay well!
Judy
The suggestion is still for folks to get the vaccination for at least partial protection. There are often more than one strain that makes the rounds each season, so I would agree with that suggestion.
I actually have not had any positive cases of Flu in here yet.
I have a couple of kids with nasty high fevers for almost a week, they are congested and coughing.
It sure looks like flu, but the tests were negative.
There is a nasty "whatever it is" virus out there.
We are still seeing some strep throat.
Last week and continuing today are more calls about pinworms, so itchy butts or vaginal irritations should rule that out.
This week I am getting a spike in calls about loose stools.
We are coming to the time of year when many folks switch their insurance plans.
PLEASE PLEASE PLEASE check with your plan to make sure we are on it.
Your best bet is to call the number on your card, but if you have any conflicting information do check in with our biller Susie (you can click the link from our website)
Our receptionist are often not able to verify whether or not your plan is accepted here on the same day as the appointment.
Stay well!
Judy
Thursday, December 4, 2014
FLU SHOT CLINIC
If you haven't gotten your shot yet, we have our Flu shot clinic on Saturday December 6th from 9-noon.
No appointment needed.
This is for Noe valley pediatrics patients and families.
Have a nice weekend.
Judy
No appointment needed.
This is for Noe valley pediatrics patients and families.
Have a nice weekend.
Judy
Monday, December 1, 2014
Monday update December 1st/;' FLU SHOT CLINIC!!
I hope everyone has a nice Thanksgiving. We had a lot of traveling patients who weathered the storms.
Right now most of the ill patients have the harsh cough/ congestion/ fever illness.
We are not bothering most patients by testing it, but I bet we are seeing a lot of RSV. The cough has a certain sound.
We are also seeing lots of strep throat. Most of the tests are coming up positive.
If you have a child with a sore throat, fever and not a lot of congestion, I think it is worth testing them.
A lot of parents will report that their kids have pretty yucky breath when they have Strep, so give your kids a sniff.
I do think we are also seeing some Slap cheek around. The kids with this have one or two red cheeks on and off. Some also have a fever.
There is still some Hand Foot Mouth persisting, but I am seeing less of that.
There are some vomiting kids, many of those also have ear infections.
I heard rumors that there is some NOROVIRUS starting to spread, but I don't think we have had any here.
Finally I am delighted to announce that we are having our first Saturday morning weekend FLu Shot clinic this Saturday December 6th from 9 am-Noon.
We will give shots or mist to any of the Noe Valley Pediatrics patients and families.
Parent vaccines are $40. We will be happy to give you a receipt, but we do NOT submit the paperwork to your insurance.
Of course for all of our patients we bill the insurance as usual.
Our vaccine is the Preservative free/ Quadrivalent made by Sanofi.
There is no appointment necessary!
Have a healthy week.
Judy
Right now most of the ill patients have the harsh cough/ congestion/ fever illness.
We are not bothering most patients by testing it, but I bet we are seeing a lot of RSV. The cough has a certain sound.
We are also seeing lots of strep throat. Most of the tests are coming up positive.
If you have a child with a sore throat, fever and not a lot of congestion, I think it is worth testing them.
A lot of parents will report that their kids have pretty yucky breath when they have Strep, so give your kids a sniff.
I do think we are also seeing some Slap cheek around. The kids with this have one or two red cheeks on and off. Some also have a fever.
There is still some Hand Foot Mouth persisting, but I am seeing less of that.
There are some vomiting kids, many of those also have ear infections.
I heard rumors that there is some NOROVIRUS starting to spread, but I don't think we have had any here.
Finally I am delighted to announce that we are having our first Saturday morning weekend FLu Shot clinic this Saturday December 6th from 9 am-Noon.
We will give shots or mist to any of the Noe Valley Pediatrics patients and families.
Parent vaccines are $40. We will be happy to give you a receipt, but we do NOT submit the paperwork to your insurance.
Of course for all of our patients we bill the insurance as usual.
Our vaccine is the Preservative free/ Quadrivalent made by Sanofi.
There is no appointment necessary!
Have a healthy week.
Judy
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