There are 2 spots left in my August 29th illness class.More info at WWW.nursejudy.com if you are interested in attending.
This is the kind of day where kids are eating the hand sanitizer and sticking paper up their nose, but in terms of illnesses the biggest culprits are....
*Tummy Bug
I have many kids out there with several days of on and off vomiting and diarrhea. Most of the kids are not appearing too sick with this, but they have very sensitive tummies for a few days.
Get the probiotics started, do the BRAT diet and watch the hydration.
Check out past blogs for more detailed management.
*Coughs and colds
We have lots and lots of kids with coughs and colds. It is not unusual for colds to linger for a week to 10 days.
*Mystery fevers
I have a few kids with fairly high fevers just starting. I want to see anybody with a fever that is lasting more than 3 days
FLU SHOTS:
We are giving flu shots Tuesday Wednesday and Thursday
Morning 10-11:30
Afternoon 2-3:45
There is a limit to how many patients we can manage in each time slot.
In an effort to take care of the flu shot needs without negatively impacting our patient flow, we are not doing drop in shots this year. Please call ahead for an appointment.
Stay well!!
Judy
Monday, August 27, 2012
Thursday, August 23, 2012
Flu shot update
We currently have in stock and ready to give:
*the preservative free baby flu vaccine ( 6 months-36 months)
*Flu mist ( 2 and over...but don't kid yourself. 2 year olds do NOT like to have something squirted in their nose, some times the shot is easier)
Flu mist is a live vaccine.
*Regular flu shots for anyone over three ( this is NOT preservative free, the amount of thimerisol in these is not a concern unless you are pregnant)
We should be getting preservative free flu vaccine for the over three year old crowd in the beginning of September
The first year that a child under the age of 9 gets the flu vaccines, they need 2 doses within the same season to give full protection.
Once they have had a year with 2 shots, they should only need one for future years.
The 2 doses need to be at least 4 weeks apart, ( it is okay if it is a little longer than that)
I am getting reports from parents that this years flu vaccine has packed a bit of a wallop. About a quarter of our babies have had an extremely fussy night after the shot. Some have had low grade fevers.
This reaction has NOT lasted for more than a day or two.
We will be holding a drop in Flu Shot clinic here in the office on Saturday morning September 22nd from 9:30-12:30
This will be for patients and family members.
Cost for parents is $35/shot. We do not bill your insurance. You may find it cheaper to do it elsewhere, but for convenience we are happy to vaccinate you ( and we give cute band aids)
if the demand exists we may do another weekend shot clinic in October.
Once the season is in full swing I will keep you undated on "drop in" flu shot hours during the week.
Stay well, I hope that this coming flu season is a "non Event" but sometimes they are quite horrid and scary ( remember H1N1) I do suggest getting the protection. It is worth a fussy night.
Judy
*the preservative free baby flu vaccine ( 6 months-36 months)
*Flu mist ( 2 and over...but don't kid yourself. 2 year olds do NOT like to have something squirted in their nose, some times the shot is easier)
Flu mist is a live vaccine.
*Regular flu shots for anyone over three ( this is NOT preservative free, the amount of thimerisol in these is not a concern unless you are pregnant)
We should be getting preservative free flu vaccine for the over three year old crowd in the beginning of September
The first year that a child under the age of 9 gets the flu vaccines, they need 2 doses within the same season to give full protection.
Once they have had a year with 2 shots, they should only need one for future years.
The 2 doses need to be at least 4 weeks apart, ( it is okay if it is a little longer than that)
I am getting reports from parents that this years flu vaccine has packed a bit of a wallop. About a quarter of our babies have had an extremely fussy night after the shot. Some have had low grade fevers.
This reaction has NOT lasted for more than a day or two.
We will be holding a drop in Flu Shot clinic here in the office on Saturday morning September 22nd from 9:30-12:30
This will be for patients and family members.
Cost for parents is $35/shot. We do not bill your insurance. You may find it cheaper to do it elsewhere, but for convenience we are happy to vaccinate you ( and we give cute band aids)
if the demand exists we may do another weekend shot clinic in October.
Once the season is in full swing I will keep you undated on "drop in" flu shot hours during the week.
Stay well, I hope that this coming flu season is a "non Event" but sometimes they are quite horrid and scary ( remember H1N1) I do suggest getting the protection. It is worth a fussy night.
Judy
Monday, August 20, 2012
Monday update August 20th
It is hard to believe that school is starting already. It seems so early this year.
We are seeing lots of kids with fevers. One of the cases just ended it with a rash (typical roseola), it is too early to tell what the others will end up doing.
We have several patients with odd rashes.
Poison Oak is pretty active right now, so pay attention if you have been hiking.
I still have a few patients showing up with Hand/Foot/mouth virus. Typically this is a childhood illness but there are a few unfortunate parents out there who are getting it as well.
We have lots of coughs and colds. More of the coughs are starting to get wheezy.
Wishing everyone a healthy and happy start to the school year!!
Judy
We are seeing lots of kids with fevers. One of the cases just ended it with a rash (typical roseola), it is too early to tell what the others will end up doing.
We have several patients with odd rashes.
Poison Oak is pretty active right now, so pay attention if you have been hiking.
I still have a few patients showing up with Hand/Foot/mouth virus. Typically this is a childhood illness but there are a few unfortunate parents out there who are getting it as well.
We have lots of coughs and colds. More of the coughs are starting to get wheezy.
Wishing everyone a healthy and happy start to the school year!!
Judy
Monday, August 13, 2012
Monday update August 13th
We are extremely busy in here with our well child checkups. Thankfully the illnesses have been pretty quiet.
Here is what I am seeing
* mild croup
*mild diarrhea
*all sorts of odd rashes
*a handful of kids who are active and running around, but have fevers around 101
With school starting soon and then end of summer approaching, I do have an illness class scheduled August 29th.
If you ever ask questions like, "when should I be worried about a fever?" then this is the class for you.
full class info can be obtained at WWW.nursejudy.com
Enjoy the last bits of summer
Judy
Here is what I am seeing
* mild croup
*mild diarrhea
*all sorts of odd rashes
*a handful of kids who are active and running around, but have fevers around 101
With school starting soon and then end of summer approaching, I do have an illness class scheduled August 29th.
If you ever ask questions like, "when should I be worried about a fever?" then this is the class for you.
full class info can be obtained at WWW.nursejudy.com
Enjoy the last bits of summer
Judy
Monday, August 6, 2012
August 6th. Monday update
Our illness list today includes
*diarrhea ( some of the cases have been lasting as long as 10 days or so)
* Rashes and hives ( as long as these are not associated with a new medication or food, they are likely part of a viral syndrome)
*Hand foot mouth ( yes...it is still out there)
*Strep throat ( some of our in office tests have been negative. Our tests only are sensitive for Group A strep..follow up cultures that have been sent to the lab have been positive for other strains)
*Lots of kids are coughing ( not a lot of wheezing)
We got our first doses of the baby flu shots ( for the under 3 year old kids)
Babies can get the shot when they turn 6 months old. The first year of getting the vaccine requires 2 shots a month apart to achieve full protection.
We expect to get the rest of our flu vaccines later in the month. This season the shots will be protecting against 2 new strains, plus the H1N1.
For any parents out there with special need kids who are worried about back to school transition, there is a free workshop on August 15th from 6-7:30 pm at 36A Monterey Blvd.
Email marie-laure@gatewaylg.com to reserve a spot
For all of our back to school kids, remember that a Tdap booster is required for entry to 7th grade
Stay well
Nurse Judy
*diarrhea ( some of the cases have been lasting as long as 10 days or so)
* Rashes and hives ( as long as these are not associated with a new medication or food, they are likely part of a viral syndrome)
*Hand foot mouth ( yes...it is still out there)
*Strep throat ( some of our in office tests have been negative. Our tests only are sensitive for Group A strep..follow up cultures that have been sent to the lab have been positive for other strains)
*Lots of kids are coughing ( not a lot of wheezing)
We got our first doses of the baby flu shots ( for the under 3 year old kids)
Babies can get the shot when they turn 6 months old. The first year of getting the vaccine requires 2 shots a month apart to achieve full protection.
We expect to get the rest of our flu vaccines later in the month. This season the shots will be protecting against 2 new strains, plus the H1N1.
For any parents out there with special need kids who are worried about back to school transition, there is a free workshop on August 15th from 6-7:30 pm at 36A Monterey Blvd.
Email marie-laure@gatewaylg.com to reserve a spot
For all of our back to school kids, remember that a Tdap booster is required for entry to 7th grade
Stay well
Nurse Judy
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