November 12th update plus random info

I received a question about an earlier post asking about contagiousness from the hand/ foot/ mouth rash.

My best guess is that someone with a revisit of the rash is not terribly contagious.
In general our guidelines for hand/ foot/ mouth are to keep the kids home with you if they have a fever or if they are miserable from a lot of mouth sores.
If they seem well and happy, even if they have a rash, we don't bother to isolate them.
Chances are they were spreading this virus around the day before they showed any symptoms.
That being said, Please to be kind to any newborns or folks with a compromised immune system and try to keep your child away from them until they are all clear.

This week the viral rashes continue and we have had multitudes of kids in here with all sorts of rashes and splotches.

I am still seeing croup.

I have several kids with diarrhea ( this is lasting for about 3 days) Many of the kids are getting diaper rashes with this.
If you baby has loose stools try to give them as much air as possible.
Blue pee pee pads from the pet store are a nice resource to avoid a mess.

Calmoseptine ointment is a good barrier cream for this. Probiotics are very helpful.

I have a bunch of kids out there with moderate fevers that have been on and off for 3 to 4 days and then they are gone.
This is likely viral. The kids don't seem all that miserable.

In a nutshell, my rule about fevers is as follows.
I am much more concerned about a miserable lethargic or super fussy child with no fever than I am about the singing kid that has 104. It isn't just about the number, BUT if I have a child with the temp over 102, I want you to treat with appropriate doses of tylenol or Motrin, get them sponged down, give them fluids etc.
Re measure the temp in an hour and if it is still over 102...that is a fever that needs to be evaluated.

Stay well
Judy



Now onto the random info.

Next solid food class will be held November 21st. I have the one after that scheduled in January.


Emergency Preparedness

With the recent Hurricane in the East Coast it brings to mind that we all need to be prepared for emergency
I came across a great little blog with a very good entry about dealing with earthquake preparation..
www.dealtrackersf.com search earthquake

Great little place for visitors or grandparents

A great garden studio apartment, perfect for your visiting friends and relatives. Private, quiet and convenient. Sit and relax in the garden or explore the neighborhood. Just ½ block from Dolores Park and MUNI and a walk to all the great fun, shopping, bars and restaurants in Noe Valley, the Mission and the Castro.



Comfy queen bed

Wi-Fi; Cable TV

Bath with shower/tub

Fully equipped kitchen

Washer/dryer

$95/night, 3 night minimum.

For more info contact:

mjs@mjsimonlaw.com



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