I am trying to find out more info about the reports of arsenic in baby formula.
What I can currently tell you is that I have been assured that Similac organic formula is NOT affected by this and does not use the ingredients that are being questioned.
As soon as I have more info, I will update.
We will be closed on Monday in honor of Presidents day.
As always the after hours clinic will be available to take care of your needs.
We will be back on Tuesday.;
We had our first positive flu test...Influenza has arrived. I will update when I have a better sense of what this particular virus is looking like. Every year tends to have some variations.
Have a good weekend
Judy
Friday, February 17, 2012
Wednesday, February 15, 2012
fevers out there
I am wondering if we are possibly starting to see the flu.
I now have several patients with lots of congestion and high fevers ( 102-103). The Mucous tends to be mostly clear. This batch of kids are fairly unhappy and so far we are on day 3 of the fever, so I don't know how long it lasts yet.
We haven't tested any of them for flu but may start if other kids keep this up. At this point my 3 day fever rule is still intact.
If your child has a high fever that is on the 3rd day and they have NOT been evaluated yet, I would like to have them seen. ( unless they are absolutely happy, eating with easy breathing..in which case they get an extra day or two.
Judy
I now have several patients with lots of congestion and high fevers ( 102-103). The Mucous tends to be mostly clear. This batch of kids are fairly unhappy and so far we are on day 3 of the fever, so I don't know how long it lasts yet.
We haven't tested any of them for flu but may start if other kids keep this up. At this point my 3 day fever rule is still intact.
If your child has a high fever that is on the 3rd day and they have NOT been evaluated yet, I would like to have them seen. ( unless they are absolutely happy, eating with easy breathing..in which case they get an extra day or two.
Judy
Monday, February 13, 2012
new class for parents of young babies
Attention parents of our youngest patients.
By request I will be starting a new class for parents of babies under 3 months.
This class will deal with colic, new born rashes, baby poop, cradle cap, sleeping tips, thrush, cord care blocked tear ducts etc.( in other words anything that is on your mind)
sleepy babies will be most welcome at this class.
If there is enough interest I will try to schedule the first one sooner than later, otherwise look for it in March.
If you are interested email me at nursejudynvp@yahoo.com and I will try to find a mutually convenient time
Judy
By request I will be starting a new class for parents of babies under 3 months.
This class will deal with colic, new born rashes, baby poop, cradle cap, sleeping tips, thrush, cord care blocked tear ducts etc.( in other words anything that is on your mind)
sleepy babies will be most welcome at this class.
If there is enough interest I will try to schedule the first one sooner than later, otherwise look for it in March.
If you are interested email me at nursejudynvp@yahoo.com and I will try to find a mutually convenient time
Judy
Monday Feb 13th
Our patients are still plagued by
* the stomach virus ( the numbers are down a bit so far today but it is still out there)
* coughs and colds that have moderate fevers ( 101) associated with them
* LOTS of wheezing going on
*all sorts of odd rashes
There are several events that I want to let you know about.
UCSF school of dentistry is offering free dental to children 4-17 on Saturday February 18th over at 707 Parnassus from 9-3. no appointments are needed but I would get there early if this is something you are interested in.
SF Birth and Baby Fair is hosting a Free Car seat check over at the sports Basement on Bryant street on Saturday February 25th.
Google the SF Birth and Baby fair and click from the site to make an appointment
Healthychildren.org is also a fun website to check out. They have all sorts of answers to all sorts of questions.
SFkids.org is another good site that has lots of suggestions for great activities to do with your kids
It is preteen vaccination week.
All kids going into middle school next year need to be up to date on the TDaP vaccines.
stay well
Judy
* the stomach virus ( the numbers are down a bit so far today but it is still out there)
* coughs and colds that have moderate fevers ( 101) associated with them
* LOTS of wheezing going on
*all sorts of odd rashes
There are several events that I want to let you know about.
UCSF school of dentistry is offering free dental to children 4-17 on Saturday February 18th over at 707 Parnassus from 9-3. no appointments are needed but I would get there early if this is something you are interested in.
SF Birth and Baby Fair is hosting a Free Car seat check over at the sports Basement on Bryant street on Saturday February 25th.
Google the SF Birth and Baby fair and click from the site to make an appointment
Healthychildren.org is also a fun website to check out. They have all sorts of answers to all sorts of questions.
SFkids.org is another good site that has lots of suggestions for great activities to do with your kids
It is preteen vaccination week.
All kids going into middle school next year need to be up to date on the TDaP vaccines.
stay well
Judy
Sunday, February 12, 2012
Tylenol dosing information
I have been getting a lot of questions lately about correct Tylenol dosing. In the effort by the companies to make things simple, things have gotten awfully confusing.
What used to be known as concentrated infant Tylenol drops ( 80mg/1 ml) is no longer supposed to be available. Most of what is being sold is now Tylenol suspension ( 160 mg/5 ml)
Okay moms and dads..It is time to brush off your math skills.
In order to make sure that your child is getting the proper dose regardless of what form you have, from now on we need to focus on how many milligrams of medication your child should get.
Somewhere on the label it should say how many mg there are per ml.
milliliters are standard units of measurement. There are always 5 ml (milliliters)in a teaspoon.
How many milliGRAMS there are in a milliliter will vary from medication to medication.
Once again, In the case of Tylenol the most popular concentration is now 160mg/5ml but please take a moment to find that info on the label ( it might be small) just to be certain.
the proper dosing for the 160/5ml concentration will be as follows
5-8 pounds 40 mg 1/4 teaspoon 1.25 ml
9-10 pounds 60 mg 1/3 teaspoon 1.7 ml
11-16 pounds 80 mg 1/2 teaspoon 2.5 ml
17-21 pounds 120 mg 3/4 teaspoon 3.75 ml
22-26 pounds 160 mg 1 teaspoon 5 ml
27-32 pounds 200 mg 1 1/4 teaspoon 6.25 ml
33-37 pounds 240 mg 1 1/2 teaspoons 7.5 ml
38-42 pounds 280 mg 2 teaspoons 10 ml
Tylenol doses can be repeated every 4-6 hours as needed.
If your baby is under 6 weeks it is essential that you report any elevated fever or significant fussiness rather than automatically treating with Tylenol or Advil.
What used to be known as concentrated infant Tylenol drops ( 80mg/1 ml) is no longer supposed to be available. Most of what is being sold is now Tylenol suspension ( 160 mg/5 ml)
Okay moms and dads..It is time to brush off your math skills.
In order to make sure that your child is getting the proper dose regardless of what form you have, from now on we need to focus on how many milligrams of medication your child should get.
Somewhere on the label it should say how many mg there are per ml.
milliliters are standard units of measurement. There are always 5 ml (milliliters)in a teaspoon.
How many milliGRAMS there are in a milliliter will vary from medication to medication.
Once again, In the case of Tylenol the most popular concentration is now 160mg/5ml but please take a moment to find that info on the label ( it might be small) just to be certain.
the proper dosing for the 160/5ml concentration will be as follows
5-8 pounds 40 mg 1/4 teaspoon 1.25 ml
9-10 pounds 60 mg 1/3 teaspoon 1.7 ml
11-16 pounds 80 mg 1/2 teaspoon 2.5 ml
17-21 pounds 120 mg 3/4 teaspoon 3.75 ml
22-26 pounds 160 mg 1 teaspoon 5 ml
27-32 pounds 200 mg 1 1/4 teaspoon 6.25 ml
33-37 pounds 240 mg 1 1/2 teaspoons 7.5 ml
38-42 pounds 280 mg 2 teaspoons 10 ml
Tylenol doses can be repeated every 4-6 hours as needed.
If your baby is under 6 weeks it is essential that you report any elevated fever or significant fussiness rather than automatically treating with Tylenol or Advil.
Wednesday, February 8, 2012
Upcoming Nurse Judy class schedule
Here is the schedule of upcoming Nurse Judy classes
Solids foods class
February 11th 10:45 am (Saturday morning)
This class is geared for parents of children from 4 months until 15 months. It covers all the aspects of starting solids, nutritional information and tips for picky toddler eaters
Topics range from how interesting your child's poop can get with various foods, to understanding how to read a growth chart to track their heights and weights
Safety Class
February 25th 10:00 am ( Saturday morning)
This class is appropriate for all parents. We focus on accident prevention but teach how to deal with emergency situations
This class covers head injuries, falls, basic first aid, burns, poisoning, child proofing, safe pet interactions and CHOKING rescue
Illness class
March 21st at 7:45 pm ( Wednesday evening)
This class is appropriate for all parents. Recognize and learn what are appropriate levels of concern and how to deal with a wide range of illnesses. We will discuss fevers, rashes, coughs and colds, tummy bugs and common viral syndromes
classes are typically 90 minutes
My February Parenting class is full, but this class deals with parenting tips for parents with children over the age of two ( tips are useful for all ages) In this class we talk about appropriate rewards, consequences, tantrums, problem solving, bedtime, mealtime etc....
If you have at least 4 people interested ( best with similar age kids) contact me to set up a class
( parenting class is 2 hours)
Classes are held in the Noe Valley Pediatrics waiting room - you do not need to be a patient of NVP to attend. Cost of the classes is $20/per person. sliding scale available.
RSVP required nursejudynvp@yahoo.com
more info at www.nursejudy.net
Solids foods class
February 11th 10:45 am (Saturday morning)
This class is geared for parents of children from 4 months until 15 months. It covers all the aspects of starting solids, nutritional information and tips for picky toddler eaters
Topics range from how interesting your child's poop can get with various foods, to understanding how to read a growth chart to track their heights and weights
Safety Class
February 25th 10:00 am ( Saturday morning)
This class is appropriate for all parents. We focus on accident prevention but teach how to deal with emergency situations
This class covers head injuries, falls, basic first aid, burns, poisoning, child proofing, safe pet interactions and CHOKING rescue
Illness class
March 21st at 7:45 pm ( Wednesday evening)
This class is appropriate for all parents. Recognize and learn what are appropriate levels of concern and how to deal with a wide range of illnesses. We will discuss fevers, rashes, coughs and colds, tummy bugs and common viral syndromes
classes are typically 90 minutes
My February Parenting class is full, but this class deals with parenting tips for parents with children over the age of two ( tips are useful for all ages) In this class we talk about appropriate rewards, consequences, tantrums, problem solving, bedtime, mealtime etc....
If you have at least 4 people interested ( best with similar age kids) contact me to set up a class
( parenting class is 2 hours)
Classes are held in the Noe Valley Pediatrics waiting room - you do not need to be a patient of NVP to attend. Cost of the classes is $20/per person. sliding scale available.
RSVP required nursejudynvp@yahoo.com
more info at www.nursejudy.net
Monday, February 6, 2012
Monday February 6th
This week coughs and wheezing are the biggest complaints. We are still seeing RSV. ( see previous posts for more info about this)
We are still seeing lots of vomiting kids with diarrhea so that is still getting an honorary mention. We have actually had a few of our patients end up in the ER to get some IV hydration. Hooray to the parents who recognized that it was appropriate to take the kids in (significantly low energy and decreased urine output should get your antenna up)
We have complaints of sore throats but all the strep tests were negative today.
We have had no positive flu tests yet, but there have been a handful of kids with fever and aches.
Stay well
Judy
We are still seeing lots of vomiting kids with diarrhea so that is still getting an honorary mention. We have actually had a few of our patients end up in the ER to get some IV hydration. Hooray to the parents who recognized that it was appropriate to take the kids in (significantly low energy and decreased urine output should get your antenna up)
We have complaints of sore throats but all the strep tests were negative today.
We have had no positive flu tests yet, but there have been a handful of kids with fever and aches.
Stay well
Judy
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