Fall Health Tips

New Computer System for the Office:

For the last 2 years we have been using EPIC, an electronic health record system, in the office. Parents and families are able to get access to their records online through the MYCHART patient portal. One is able to get school/camp/sports forms online along with check lab results, appointment times, and pay bills online. Some people might want to send a non-urgent message to the office by using EPIC as well as schedule well visit appointments.  If you would like to sign up for MYCHART please call the office.

 

School Difficulties:

A new school year can be very exciting for some children but for others it leads to worries and concerns.  Some kids feel anxious about their situations including the new classmates and teacher.  In addition, they may experience problems socially, with schoolwork, or bullying. Contact your school guidance counselor, speak with the teachers or the principal and advocate for your child’s well-being.  If you need further advice or need to discuss any school-related problems call the office.  Often it is helpful to schedule a consultation in the office and talk about the situation.  Do not wait until the difficulties cause problems outside of school.  You can read more at:

https://www.healthychildren.org/English/ages-stages/gradeschool/school/pages/dealing-with-problems-at-school.aspx

http://www.acmh-mi.org/get-help/navigating/problems-at-school/

http://www.educationandbehavior.com/how-to-discipline-a-child-with-behavior-problems/

 

Concussions:

Football, soccer and cheerleading are popular sports in the fall.  Unfortunately these sports can cause some injuries and a few children will get concussions.  Both parents and kids need to know the signs and symptoms of concussion, how to diagnose and treat these brain injuries. We are here to help advise you regarding your children’s individual treatments based on their signs and symptoms. Please call the office if your child has had any head injury so we can decide what needs to be done.  Please refer to the following links for more detailed information:

http://www.cdc.gov/concussion

 http://kidshealth.org/parent/general/aches/concussions.html

 http://www.childrenshospital.org/az/Site985/mainpageS985P0.html

 

Flu vaccines:

Fall is the time to get your influenza (flu) vaccine.  Please call the office to schedule an appointment to receive either a flu shot.  The flu vaccine is recommended for all children over 6 months but it is especially important for children in daycare and children with any chronic medical problem.  Any children over 9 years old, and those under 8 years of age who have received 2 flu vaccines in the past need only one vaccine this year.  Infants  6 months and older should receive 2 influenza shots one month apart.  They can receive them at the time of their regular well checkups or an additional appointment just to receive the vaccine can be made.  We try to accommodate people’s schedule as much as possible.   If you have questions about influenza and the vaccines available, call the office or go to:   

http://www.cdc.gov/flu/protect/keyfacts.html

http://www.flu.gov/prevention-vaccination/vaccination/index.html

 

Call Us First:

Many families use the Emergency Room or Urgent Care Centers after office hours for medical care. We would like patients and families to be aware that Dr.Feldman is on call most days and nights to answer questions and to guide families when they have accidental injuries, sudden onset of illness or encounter new situations about which the family needs advice.  At night or weekends there is always a pediatrician on call to answer questions and to discuss any problems which are occurring. For some problems we will recommend the ER, but for others will suggest home remedies, some will require an office visit the next day, and other patients may need orders sent to the hospital or a prescription sent to a pharmacy. We can determine this only when we have a conversation.  We can help to guide you in the right direction, saving you time and sometimes money and often hassles.   Please call (781) 662-4560 whenever you are unsure what to do for your child.  Call us first, unless it is truly an emergency which cannot wait 15 minutes; in that situation call 911.  

 

 

Meningitis B Vaccine:

Bacterial meningitis is a serious and potentially fatal infection which affects adolescents and young adults. A new vaccine called Men B is now available and is recommended for 16-18 year olds.   For more information read:

http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mening-serogroup.html

http://www.immunize.org/vis/meningococcal_b.pdf

http://www.cdc.gov/vaccines/vpd-vac/mening/who-vaccinate.html

 

HPV for both boys and girls:

It is now recommended that all adolescents get immunized against Human Papilloma Virus (HPV).  This was determined by the public health officials to reduce the spread of HPV throughout the young adult community.  The virus is very prevalent and has been shown to cause various types of cancers in young adults, both males and females.  Adolescent children should receive this vaccine, starting at age 11. Recent studies from previous vaccinated children has shown twice as high antibody levels which should  provide improved protection for younger adolescents compared to older teens and young adults.   For those who get the first dose before their 15th birthday, only 2 doses are given 6-12 months apart.  If they begin after 15 years old, the vaccine must be given in 3 doses over at least 6 months.  Therefore we advise beginning the vaccine at age 11. If you have questions please call the office.

To read more about HPV:  

http://www.cdc.gov/hpv/parents/index.html

 http://www.cdc.gov/vaccines/vpd-vac/hpv/default.html

 http://www.cdc.gov/vaccines/who/teens/vaccines/hpv.html

Dr. Jeffrey S.Feldman | MelrosePediatrics.com | 340 Main Street Suite 101, Melrose, MA | 781.662.4560 | Copyright 2012   Site Design: Gordon Design