This weekend we had some common themes.
Lots of patients had croupy coughs during the night.
Plenty of patients had a fairly short bout of vomiting and diarrhea.
Coughs and colds continue to plague everyone with their persistence.
We have seen lots of ear infections.
If your child is turning 6 months we absolutely want to make sure they get their flu vaccines. Children under nine get 2 shots in the same season the first year and then one flu shot per year after that.
We have lots of wheezy kids out there as well. We are in fact missing many of the nebulizers that we lend out. If you have one of our machines please return it as soon as possible. If you child is still doing treatments, we will make sure that you get a machine of your own.
Stay well
~Nurse Judy
Monday, January 31, 2011
Monday, January 24, 2011
January 24th 2011
Flu is here. It is NOT too late to get the shot if you haven't yet.
Most of the patients with the positive flu tests, did not get the vaccine, but I have had one Flumist and one shot failure. We have also had plenty of kids with flu like symptoms where the flu test was negative.
If you do have the flu and it is diagnosed within the first 24 to 48 hours, we can give tamiflu which can shorten the course.
One of my poor patients has flu and RSV at the same time!
Once the immune system is having a rough time, this can happen and people can have more than one virus, or a virus along with a bacterial infection ( which accounts for why antibiotics don't always clear things right up).
We are also seeing the standard coughs, colds and ear infections.
That tummy bug is still out there making folks miserable.
We have had lots of sore throats..about 25% of those have positive strep tests.
FYI...If you have something that has been lingering, Thursday of this week we will have an extra acute care doctor working so my triage bar will be set very low and it will be easy to get an appointment.
Stay well and enjoy the weather!!
~Nurse Judy
Most of the patients with the positive flu tests, did not get the vaccine, but I have had one Flumist and one shot failure. We have also had plenty of kids with flu like symptoms where the flu test was negative.
If you do have the flu and it is diagnosed within the first 24 to 48 hours, we can give tamiflu which can shorten the course.
One of my poor patients has flu and RSV at the same time!
Once the immune system is having a rough time, this can happen and people can have more than one virus, or a virus along with a bacterial infection ( which accounts for why antibiotics don't always clear things right up).
We are also seeing the standard coughs, colds and ear infections.
That tummy bug is still out there making folks miserable.
We have had lots of sore throats..about 25% of those have positive strep tests.
FYI...If you have something that has been lingering, Thursday of this week we will have an extra acute care doctor working so my triage bar will be set very low and it will be easy to get an appointment.
Stay well and enjoy the weather!!
~Nurse Judy
Tuesday, January 18, 2011
January 18th
We certainly paid the price of being gone over the 3 day weekend.
The stack of charts on my desk this morning would have broken the all time weekend call record ( if there was such a thing)
There is a LOT going on out there.
Today we are seeing lots of vomiting patients, but some of last weeks tummy virus kids had diarrhea that lingered days longer than I typically see it.
Coughs, colds and fevers abound!
~Nurse Judy
The stack of charts on my desk this morning would have broken the all time weekend call record ( if there was such a thing)
There is a LOT going on out there.
Today we are seeing lots of vomiting patients, but some of last weeks tummy virus kids had diarrhea that lingered days longer than I typically see it.
Coughs, colds and fevers abound!
~Nurse Judy
Monday, January 10, 2011
Monday check in
We are seeing more of the tummy bug that I started seeing on Friday.
This one seems to be more diarrhea than vomiting and has been on and off for as long as 4 days. Some of the kids have had low grade fevers and rashiness with this.
We also MAY be starting to see some slap cheek.
We have had some positive strep tests as well as some positive Influenza A tests.
Lots of our patients have had some mild wheeziness.
(Our RSV babies are doing okay....)
We have plenty of ear infections and mild colds and coughs that have lingered for more than a week.....
At least it isn't snowing!!!!
Stay well
Nurse Judy
This one seems to be more diarrhea than vomiting and has been on and off for as long as 4 days. Some of the kids have had low grade fevers and rashiness with this.
We also MAY be starting to see some slap cheek.
We have had some positive strep tests as well as some positive Influenza A tests.
Lots of our patients have had some mild wheeziness.
(Our RSV babies are doing okay....)
We have plenty of ear infections and mild colds and coughs that have lingered for more than a week.....
At least it isn't snowing!!!!
Stay well
Nurse Judy
Friday, January 7, 2011
RSV
We have several infants who have recently been hospitalized with RSV (respiratory Syncytial Virus)
As scary as that is, they are mostly there for observation and hydration and after a week or so of illness they are quite well.
RSV is in fact a fairly common virus. It is rare for a child to make it to the age of 2 without having had it at least once. Babies with older siblings are of course more at risk.
Treatment for older babies and children is our normal approach to colds and coughs...
Saline and suction to nose, increase fluids, steam, elevating head..
If you have a young infant with a cough they may well need to be evaluated.
If your baby is eating well, sleeping well, No fever, good spirits we will be less concerned.
We are also starting to perhaps have another tummy bug out there.
I am having some reports of vomiting and diarrhea out there as well.
~Have a safe and healthy weekend
Judy
As scary as that is, they are mostly there for observation and hydration and after a week or so of illness they are quite well.
RSV is in fact a fairly common virus. It is rare for a child to make it to the age of 2 without having had it at least once. Babies with older siblings are of course more at risk.
Treatment for older babies and children is our normal approach to colds and coughs...
Saline and suction to nose, increase fluids, steam, elevating head..
If you have a young infant with a cough they may well need to be evaluated.
If your baby is eating well, sleeping well, No fever, good spirits we will be less concerned.
We are also starting to perhaps have another tummy bug out there.
I am having some reports of vomiting and diarrhea out there as well.
~Have a safe and healthy weekend
Judy
Monday, January 3, 2011
Welcome to 2011
People are back to school and back to work.
We are seeing the same old cough and cold. Some of these come with a fever.
We are seeing some ear infections.
I am also seeing lots of mysterious rashes associated with a viral syndrome.
I will update later in the week if we start seeing anything more interesting.
~Nurse Judy
We are seeing the same old cough and cold. Some of these come with a fever.
We are seeing some ear infections.
I am also seeing lots of mysterious rashes associated with a viral syndrome.
I will update later in the week if we start seeing anything more interesting.
~Nurse Judy
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