Pinkeye (Conjunctivitis)
Pinkeye (Conjunctivitis) is the inflammation (ie, redness, swelling) of the thin tissue covering the white part of the eye and the inside of the eyelids. What are the signs or symptoms? There are several kinds of pinkeye, including: Bacterial Red or pink, itchy, painful eye(s). More than a tiny amount of green or yellow discharge. Infected eyes may be crusted shut in the morning. May affect one or both eyes. Viral Pink, swollen, watering eye(s) sensitive to light. May affect only one eye. Allergic Itching, redness, and excessive tearing, usually of both eyes. Chemical Red, watery eyes, especially after swimming in chlorinated water. Immune mediated, such as that related to a systemic disease like Kawasaki disease. What are the incubation and contagious periods? Depending on the type of pinkeye, the incubation period (the time between being exposed to the disease and when the symptoms start) varies: Bacterial The incubation period is unknown because the bacteria that cause it are commonly present in most people and do not usually cause infection. The contagious period ends when the course of medication is started or when the symptoms are no longer present. Viral Sometimes occurs early in the course of a viral respiratory tract disease that has other signs or symptoms. One type of viral conjunctivitis, adenovirus, may be contagious for weeks after the appearance of signs or symptoms. Children with adenovirus infection are often ill with fever, sore throat, and other respiratory tract symptoms. This virus may uncommonly cause outbreaks in child care and school settings. Antibiotics for this condition do not help the patient or reduce spread. The contagious period continues while the signs or symptoms are present. Allergic Occurs in response to contact with the agent that causes the allergic reaction. The reaction may be immediate or delayed for many hours or days after the contact. No contagious period. Chemical Usually appears shortly after contact with the irritating substance. No contagious period. How is it spread? Hands become contaminated by direct contact with discharge from an infected eye, or by touching other surfaces that have been contaminated by respiratory tract secretions, and gets into the child’s eyes. How do you control it? Consult a health professional for diagnosis and possible treatment. The role of antibiotics in preventing spread is unclear. Antibiotics shorten the course of illness a very small amount. Most children with pinkeye get better after 5 or 6 days without antibiotics. Careful hand hygiene before and after touching the eyes, nose, and mouth. Careful sanitation of objects that are commonly touched by hands or faces, such as tables, doorknobs, telephones, cots, cuddle blankets, and toys. It is helpful to think of pinkeye like the common cold. Both conditions may be passed on to other children but resolve without treatment. Pinkeye generally results in less symptoms of illness than the common cold. The best method for preventing spread is good hand hygiene. Additional Resources: Hand Washing: A Powerful Antidote to Illness Eye Infections Specific Eye Problems Preventing the Spread of Illness in Child Care and School Last Updated 7/31/2014 Source Managing Infectious Diseases in Child Care and Schools, 3rd Edition (Copyright © 2013 American Academy of Pediatrics) The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Employee of the Month ~ Jeff Andres
Jeff has manned our front desk on the night shift, 8p-8a, for four years. But in addition to his overnight job, Jeff has always gone the extra mile by providing assistance to the practice. Everything from computer/scanner repair to hanging Christmas décor. And more importantly, he always does these tasks gladly and with no complaints. In addition to that, the “woman of his dreams” he is referring to is our own office manager, Jameyra Roman-Andres. How long have you worked here? 4 years Where were you born? Charleston SC Are you in school? Yes, studying network information technology and security Wife? Children? I was recently married to the woman of my dreams, no children yet but we do plan on a child in the NEAR future After work hobbies? I’m a sports fanatic, and I love to travel. Favorite part of my job? Being able to help put parents at ease when they have a sick child at night!
Tips for Soothing a Fussy Baby
Written for www.confessionsofadrmom.com blog on May 7, 2014 by Melissa Being a newborn can be hard work. Being a parent of a newborn can be even harder. It’s exactly like everyone told you it would be, except now you’re living it. It’s overwhelming. Exhausting. All Consuming. But also the most beautiful, amazing, and important moment of your life. Parenthood certainly changes you. And just when you feel like you’re easing into your new role…the crying begins. And it only seems to be getting worse. Your beautiful bundle of joy has taken to distressing bouts of crying. She often looks like she’s in pain and no matter what you do, the crying continues. Sure, it could be “colic” which is really a non-descript term that, by definition, follows the rule of 3′s: crying for more than 3 hours per day, for at least 3 days per week, and for 3 weeks or longer. We know all babies go through a phase of increased crying. This crying peaks between 2 weeks of life up until 3 months of age. After which, the crying dramatically improves. Their digestive and nervous systems are still maturing, not yet completely ready to take on all the sights/sounds/tastes that the world has to offer. And some babies are simply more sensitive to these outside stimuli. Here are some ways to help your little one through this increased crying phase: Swaddle: Invest in a generous sized/thin swaddling blanket and hone those burrito wrap skills. Most babies dislike the process of swaddling, but once they’re snug and secure…they love it. Give it a try. And try again. Have a seasoned mom friend show you the way or ask your pediatrician to show you. Rock/Walk/Sway. Get moving. Babies love to move. Find your rhythm with your baby. And remember, this is a soothing and gentle process. Never shake your baby. Non-nutritive sucking. Sucking is soothing for babies. So if you know your baby is full and/or has just been fed; offer a pacifier to help calm him down. Side or tummy hold. While you should always place your baby on his back to sleep to decrease the risk of SIDS, try holding your baby on his side or tummy and rub his back. Or do the bicycle legs while talking or singing to your baby. Get outside. A little fresh air and change of scenery does everyone good. I recall vividly how well this worked for my own little one. It was amazing to see that the crying instantly stopped the second we stepped outside. Warm bath. Every baby is different and some dislike this completely while others love it. Give it a try for your little one and see how she responds during her fussy period. Quiet or soft/soothing white noise. Some babies just need to be. Turn down the loud ambient household noise and turn on some soothing background white noise (think sound machine or relaxing music) to help your baby feel calm. It might just work for you too. Take care of yourself, take a break! Crying can weigh on our souls as new parents. No matter how hard we try, we can’t help but take the persistent crying personally. It’s distressing to us. So, ask for help. Put your baby down in a safe place like a crib or bassinet and take a breather. Take shifts with your partner. Go for a walk and take that overdue shower. A little self care will go a long way in getting through the crying spells of infancy. Remember, you are a good parent and your baby is a good baby. Crying is not bad. It’s a normal development process for our newborns. And yes, you can be a baby whisperer too. Always talk to your pediatrician about your baby’s crying and bring him in to be checked if you’re worried about the crying. Infant reflux, food sensitivities, and other conditions could exacerbate this period of crying. Medication such as gripe water, “gas drops”, and probiotics have not been proven to help but some parents swear by them. Above all, remember, that this too shall pass. It will. There is a light at the end of this crying tunnel…and that light is the bright smile that suddenly greets you one fine morning. The smile that beams pure love. From your beautiful baby. And it’s all for you.
100 Free (and almost free) Things to Do In Jacksonville this Summer
At this point of the Summer, you may be running out (or have already run out!) of things to do with your kiddos. Luckily, Jacksonville Mom has the perfect list chock-full of free or cheap activities to help keep you and your kids enjoy the rest of the Summer season. Check it out below and make this Summer one to remember! Summer Bucket List: 100 Free & Cheap Things to Do In Jacksonville
AAP Advises Parents against Using Retail-Based Clinics
AAP Advises Parents against Using Retail-Based Clinics Families may decide to use a retail-based health clinic because they believe it is convenient and less expensive, but according to the American Academy of Pediatrics (AAP), these clinics do not provide children with the high-quality, regular preventive health care children need. In an updated policy statement published in the March 2014 Pediatrics, the AAP emphasizes that retail-based clinics are an inappropriate source of primary care for children because they fragment children’s health care and do not support the medical home. The policy statement, “AAP Principles Concerning Retail-Based Clinics” released online Feb. 24, updates the Academy’s 2006 policy statement, which expressed strong opposition to the use of retail-based clinics. The AAP acknowledges that the number of retail-based clinics has grown to more than 6,000 as of 2012. Surveys indicate 15 percent of children are likely to use a retail-based clinic in the future, although the majority of patients are adults. “The AAP recognizes that convenience and access to care will continue to be important drivers of how health care is delivered,” said James Laughlin, MD, FAAP, lead author of the policy statement. “However, the expertise of the pediatrician and the medical home should continue to be recognized as the standard for care of children, and we encourage all AAP members to provide accessible hours and locations as part of a medical home.” Pediatricians are specifically trained in child health issues. They know each child’s health history, and are best equipped to take care of both simple and complicated problems comprehensively within the medical home. As young patients and their health issues become more complex, the possibility arises that even a simple complaint may be related to a more serious, underlying condition that could be overlooked by someone who is less familiar with the patient, according to the AAP. While the AAP believes the medical home is the optimal standard of care for pediatric patients, and does not recommend that parents use retail-based health clinics, it is understood that the services of these clinics may be used for acute care outside of the medical home. If parents choose to use a retail-based clinic for their child’s illness, they should ask if the clinic has a formal relationship with their pediatrician, if the clinic will communicate with the pediatrician about the visit, and what the protocol is for following up if the illness does not resolve or the clinic is closed. Parents should consider only using retail-based clinics that have a formal relationship with their child’s pediatrician
Employee of the Month ~ April
Our Employee of the Month for April is Mayleen Martin-Caban! Mayleen has worked for us since August of 2010. Not only is she beloved by her coworkers, she also provides consistent, excellent customer service. Thank you for your hard work, patience, compassion and smiling face. We are going to miss you when you get transferred! Where are you from? I was born & raised in Bronx, N.Y. What is your husband’s and daughter’s name? My husband’s name is Marco and we have a beautiful 9 month old daughter named Myalee. We also have 2 dogs which I consider my children as well! We have a male Pomeranian named Brownie & a female Silky Terrier named Bella. Where did you go to school and what is your degree in? I graduated in 2010 from the City University of New York-Lehman College with my Bachelor’s degree is in Speech & Hearing Science. When is your husband’s transfer? Yes, my husband is in the Navy and is transferring to Virginia in August. He was recently promoted and was given orders there. What do you like to do on your time off? I love spending time with my family, especially my daughter! I also love arts/crafting & I like to do makeup. What is the best part of your job? The best part of my job is working with awesome people and establishing a great rapport with our patients. It’s always great to see our patients grow from when they are babies into toddlers!
Colic
Does your infant have a regular fussy period each day when it seems you can do nothing to comfort her? This is quite common, particularly between 6:00 p.m. and midnight—just when you, too, are feeling tired from the day’s trials and tribulations. These periods of crankiness may feel like torture, especially if you have other demanding children or work to do, but fortunately they don’t last long. The length of this fussing usually peaks at about three hours a day by six weeks and then declines to one or two hours a day by three to four months. As long as the baby calms within a few hours and is relatively peaceful the rest of the day, there’s no reason for alarm. If the crying does not stop, but intensifies and persists throughout the day or night, it may be caused by colic. About one-fifth of all babies develop colic, usually between the second and fourth weeks. They cry inconsolably, often screaming, extending or pulling up their legs, and passing gas. Their stomachs may be enlarged or distended with gas. The crying spells can occur around the clock, although they often become worse in the early evening. Unfortunately, there is no definite explanation for why this happens. Most often, colic means simply that the child is unusually sensitive to stimulation or cannot “self-console” or regulate his nervous system. (Also known as an immature nervous system.) As she matures, this inability to self-console—marked by constant crying—will improve. Generally this “colicky crying” will stop by three to four months, but it can last until six months of age. Sometimes, in breastfeeding babies, colic is a sign of sensitivity to a food in the mother’s diet. The discomfort is caused only rarely by sensitivity to milk protein in formula. Colicky behavior also may signal a medical problem, such as a hernia or some type of illness. Although you simply may have to wait it out, several things might be worth trying. First, of course, consult your pediatrician to make sure that the crying is not related to any serious medical condition that may require treatment. Then ask him which of the following would be most helpful. If you’re nursing, you can try to eliminate milk products, caffeine, onions, cabbage, and any other potentially irritating foods from your own diet. If you’re feeding formula to your baby, talk with your pediatrician about a protein hydrolysate formula. If food sensitivity is causing the discomfort, the colic should decrease within a few days of these changes. Do not overfeed your baby, which could make her uncomfortable. In general, try to wait at least two to two and a half hours from the start of one feeding to the start of the next one. Walk your baby in a baby carrier to soothe her. The motion and body contact will reassure her, even if her discomfort persists. Rock her, run the vacuum in the next room, or place her where she can hear the clothes dryer, a fan or a white- noise machine. Steady rhythmic motion and a calming sound may help her fall asleep. However, be sure to never place your child on top of the washer/dryer. Introduce a pacifier. While some breastfed babies will actively refuse it, it will provide instant relief for others. Lay your baby tummy-down across your knees and gently rub her back. The pressure against her belly may help comfort her. Swaddle her in a large, thin blanket so that she feels secure and warm. When you’re feeling tense and anxious, have a family member or a friend look after the baby—and get out of the house. Even an hour or two away will help you maintain a positive attitude. No matter how impatient or angry you become, a baby should never be shaken. Shaking an infant hard can cause blindness, brain damage, or even death. Let your own doctor know if you are depressed or are having trouble dealing with your emotions, as she can recommend ways to help. Last Updated 10/31/2013 Source Caring for Your Baby and Young Child: Birth to Age 5 (Copyright © 2009 American Academy of Pediatrics)
Meet the Team: Tiffany Daniels
Tiffany just had her 2 year anniversary with us! She is a Medical Assistant working weekends and the Wednesday night shift. Q: Where are you from? A: I’m from Hinesville, Georgia Q: Where did you go to school? A: I graduated from Trinity Baptist College and majored in history. Q: Do you have a spouse, children or pets? A: I have a husband and two children. A girl that is 4 and a boy that is 3. Q: How do you spend your time outside of work? A: I love to read, mostly classic literature and mystery. I also love to cook, but I HATE baking. Q: I understand you are very crafty, and even have your own Etsy store. A: I love craft projects to the point of obsession. I am a master at party streamers! I love holidays and celebrate as many as I can, much to the annoyance of my family. Q: How would you describe your job at Pediatric Care Center? A: I love my job and my co-workers!
Meet the Team: Amanda Boggs
Amanda has worked as a front desk receptionist for 2 ½ years! On her first weekend working she didn’t want to call in sick so she came into work with stomach pain. As the day went on it became worse and the provider working was so concerned she sent her home. An hour later her husband called that she was going into surgery for acute appendicitis! From that time on we knew we had a dedicated and hard- working employee! Let’s learn a bit more about Amanda. Q: Where are you from? A: I was a military brat so we moved around but I graduated high school in St. Louis, MO Q: How long have you been in Jacksonville? A: 14 years Q: Do you have a spouse, children or pets? A: I have a husband and two children ages 5 years and 2 months. And a Pomeranian named Static. Q: How do you spend your time outside of work? A: I have two more years of college to earn my Bachelor’s degree in Health Administration. I spend time with my family. I do Cross-fit and enjoy throwing the football with my husband. Q: How would you describe your job at Pediatric Care Center? A: Fun and interesting. I’m still learning new things Q: What’s the #1 question you get asked most in the office? A: What time do you close?
What you should know about the Affordable Care Act (AKA – Obamacare)
Since it took effect in 2010, the health reform law, otherwise known as the Affordable Care Act or ACA, has made important changes to the way health care coverage works for children and families. Starting October 1, 2013, you can compare insurance options to find the right plan for you and your family. The American Academy of Pediatrics (AAP) has created this list to explain some key things you should know. 1. Benefits and protections are already available. Expanded Coverage: Children under age 26 can be covered by a parent’s health insurance policy. Youth under age 26 who aged out of foster care at age 18 or older will be eligible for Medicaid coverage effective January 1, 2014 (enrollment begins October 1st). Children under age 19 can’t be denied coverage because of a pre-existing condition. Benefits: Families can choose a pediatrician as a child’s primary care doctor. New private health plans must cover the cost of preventive care. Out-of-pocket costs are capped at $5,950/individual/year and $11,900/family/year. Protections: Insurance companies can no longer set lifetime dollar limits on health benefits. Insurance companies can no longer drop people if they get sick. 2. Having health insurance is now a requirement. As of January 1, 2014, almost all Americans will be required to have health insurance or pay a penalty. If you have access to affordable insurance through your employer: You do not need to change insurance coverage if you don’t want to. If you do not have access to affordable coverage: You can get health insurance through your state’s marketplace. Enrollment for new coverage begins October 1, 2013. 3. The marketplace is a new way to get health insurance for you and your family. You can buy insurance directly from an insurance company or through a broker, or you can sign up through your new state marketplace. Through the marketplace, you can also find out if you qualify for Medicaid or the Children’s Health Insurance Program (CHIP). Through the marketplace, you can also find out if you qualify for Medicaid or the Children’s Health Insurance Program (CHIP). 4. Your application in the health insurance marketplace will tell you if you are eligible for financial assistance to help you buy private insurance. The amount of assistance depends on your family’s yearly income. You may also have no cost if you qualify for Medicaid or CHIP. 5. The marketplace offers a number of different health plans, and families should compare plans to ensure they meet their needs. The marketplace offers 4 different levels of health insurance plans. Those least expensive (bronze) have fewer benefits and higher out-of-pocket costs. Those that are the most expensive (platinum) have more benefits and lower out-of-pocket costs. Make sure you choose an insurance plan that works for your family’s needs. Families, especially those who have children with special health care needs, need to make sure the plan they purchase includes: Access to pediatric specialists and pediatric surgical specialists. Preventive care, such as well-child check-ups and immunizations. Habilitative services to help a child keep, learn, or improve functioning. Rehabilitative services such as physical or speech therapy. Vision and dental care (dental plans may be sold separately) 6. Make sure your current pediatrician is included in the plan you choose. Choosing a plan that includes your pediatrician will allow you to stay within your current medical home. 7. Have questions? There are people who can help. Your state’s marketplace has people who can help you compare plans and enroll your family in coverage. Information shared from: https://www.healthcare.gov/what-is-the-marketplace-in-my-state/ Contact via phone (available ): 1-800-318-2596