Baby Got Shots?

happy-babyBaby Got Shots? Here’s the 2021 schedule for birth through kindergarten. Seem complicated? It’s not! We’re happy to review it with you at the next well care visit.

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Drive-In: Now Open

drive-in_cinemaWe are resuming urgent morning sick visits.

This includes COVID19 testing with rapid and PCR tests.

Patients should arrive between 8:45 a.m. and 9:00 a.m.

As these are drive-in appointments, there may be a wait. Patients will be triaged for level of illness.

Park in the labeled parking spaces along the south side of our building and CALL the office at (925)939-7334.

This lets us know you have arrived. Staff will screen patients and direct patients to be seen inside or outside in our satellite area.

Patients MUST bring the current insurance card for every visit. This helps us validate what lab to send tests to.

The only stable thing about the pandemic is change. We encourage you to call the office and listen to the overnight message to confirm that the Drive-In is open.

reservedparking_satelliteclinic

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Baby Steps: Read to Your Bunny

Read_to_Your_bunnyBabies learn language the way you and I learn new languages: by repetition. Talk to your baby and child! The more words they hear, the more they learn. Talk about what you’re doing, name the items that you see and use. When your baby babbles at you, respond to your baby. This is how they learn the back-and-forth of conversations. Skip the baby talk for real words.

Read to your baby everyday. There are board books and picture books galore. Point to items and name them. Talk about what’s going on in the picture.

Books also develop motor skills. Books like Pat the Bunny are meant to be touched. Learn to turn pages from the edges. Your baby and toddler can practice turning with cloth books and then magazines to protect that precious picture book you had growing up.

Singing songs and reciting nursery rhymes are excellent language builders. Rhyme and rhythm develop pre-reading skills and memory.

If your children’s songs and nursery rhymes are a bit rusty, check out your local library for virtual offerings.

It’s never too soon to get a library card so your family can enjoy unlimited resources. The pandemic has made things a little different, but libraries have modified their services for the pandemic.

 

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Baby Steps: 1 Month

img_8887Mix it up to keep baby moving!

Starting tummy time early and scheduling routine tummy times—like after diaper change—can make baby accept and enjoy this time “face down.” Change up the surface for baby: different textures, different colors. Sing and talk and gently touch baby and name body parts. Never leave baby unattended during tummy time.

If you didn’t start tummy time from day one, never fear. No one trains for a marathon by going out and running one. Some may even walk a block then run a block. Build up tummy time and watch baby’s neck, back, and arm muscles strengthen.

Don’t force tummy time on an upset baby. Start when she’s settled and build duration and frequency day by day. You can start tummy to tummy with baby, or lie baby on your lap. You can also supervise baby and place a rolled up blanket behind the back to support baby in side-lying. Never leave baby unattended in this position.

To keep your baby’s skills on track, avoid baby positioning gears like infant seats, swings, carriers, and the car seat whenever you can. This means at home and at daycare. If you must use them, limit your baby’s time in the gear to no more than 2-3 hours per day.

Don’t let your baby sleep in baby gear. You don’t want a light sleeper! Have baby fall asleep where baby is supposed to sleep: in the crib, tummy-up.

Alternate everything to make baby strong!
Breast fed babies change positions to nurse on the left and the right. Bottle-fed babies can too! Switch the hand you use to hold the bottle. This goes for burping and carrying. Change the location of toys and mirrors to make baby look around. Rotate the position of the baby seat, the high chair, everythi

 

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Baby Steps: Week 1

img_8887Babies love to look at overhead mobiles. Change the hanging toys with different shapes and colors to keep baby’s interest. If the mobile has music, sing a long. Baby will listen! Toys must be attached with very short cords to avoid any risk of entanglement or strangulation. For safety, mobiles must come down once baby can sit.

Most cribs are placed longways against a wall. Change the direction your baby sleeps—head to the right one night and head to the left the next. All the interesting stuff is happening away from the wall, so this helps your baby get stronger looking in both directions and helps prevent flattening of one side of the head.

Remember: back to sleep, tummy to play.

Build on tummy time by putting baby on their stomach after a diaper change. Help build strong arm, neck, and back muscles!

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Baby Steps: Day 1

img_8887Get your newborn off to the best start with tummy time, tummy time, tummy time!

Aim for 15 minutes with 4 repetitions daily.

A great way to start is to put your baby tummy to tummy with you–but make sure you’re not so drowsy that you drift off and baby slides off.

Use a blanket or towel on the floor–not the bed or couch–newborns inch and scoot–so baby doesn’t tumble off.

Get eye to eye with baby if they fuss and encourage! Mix up the blanket: different colors, different textures! You already have textiles at home so you don’t need to buy anything.

Never leave baby unattended on their tummy.

Remember: Back to Sleep and Tummy to Play.

Tummy time helps develop strong core muscles. Using back and neck muscles, baby lifts their head. Pushing up with the upper arms will eventually lead to rolling.

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COVID19 Vaccination Game Plan

The news that an immunization for COVID19 has been approved by the FDA under an Emergency Use Authorization (EAU), is encouraging!

Other vaccines will likely follow, and the American Academy of Pediatrics has urged researchers to include the pediatric population in vaccine trials.

Our office will be updating information about administering the vaccine as information becomes available.

The Pfizer-BioNTech vaccine is approved for 16 years and up. This vaccine is being rolled out according to the CDC plan to prioritize distribution to high risk populations and ultimately the general population.

Right now, California pediatricians are waiting to learn how and when this vaccination will be provided to teens who are eligible for the Pfizer vaccine or any of the other vaccine candidates.

Our office is a Vaccines For Children provider. The H1N1 vaccine was distributed through VFC in 2009, and we are ready for another successful collaboration if that is one chosen distribution route.

Our office is fully integrated with national, state, and local government and health communities for information about providing the vaccine.

Until we have more information, we are focusing on our clinical care responsibilities, and are unable to offer a waiting list.

When the vaccine(s) is/are available, we will provide the information about the vaccine(s) and scheduling on our website (https://www.cvpediatrics.com).

You may also follow our social medial accounts for updates.

These include:

Blog https://lmasta.wordpress.com/

twitter @cvpediatrics

Facebook https://www.facebook.com/CasaVerdePediatrics

Google Business https://business.google.com/posts/l/15451503370221477010?hl=en

Thank you for your support and understanding, and thank you for being pro-science and pro-vaccine!

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Open through December Stay at Home Order 2020

We are open for all your sick and well care needs in-office, in our satellite area outside, and via telemedicine.

COVID19 testing available with rapid antigen in-office and send-out lab PCR tests.

We have access to full PPE and a rigorous cleaning protocol for office visits and those done at your vehicle.

The American Academy of Pediatrics supports continued well care during the pandemic. Read their position statement https://services.aap.org/…/guidance-on-providing…/

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Flumist? What’s that?

Flumist is a live, inactivated attenuated flu vaccine.

There’s no needle!

It’s sprayed in the nose.

You can read about this option for vaccination against influenza here.

See how the small amount of liquid vaccine is sprayed in the nose here.

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99072 is for PPE

We’d like to provide families with information about the personal protective equipment (PPE) billing code, 99072.

This code was developed by the Centers for Medical and Medicaid Services specifically for the pandemic. The code addresses the increased PPE required to provide medical care during the COVID19 pandemic. This includes gloves, gowns, N 95masks, face shields, cleaning and disinfectant materials, as well as the MERV13 filters for our air conditioning and heating units.

We follow all health and safety procedures regarding PPE with patients. The staff and physicians wear PPE, and we have increased cleaning and disinfecting to keep families and ourselves safe.

The American Academy of Pediatrics and other medical societies, advocating on behalf of patients and families believe the cost should be borne by the insurance companies alone. We have seen some insurances chose to process this toward the family’s deductible. That is not our intention or the intention of the medical community. We encourage you to share this information with your insurer and human resources provider.

We will continue to advocate with the AAP and the California Medical Association for safe and fair treatment for all during the pandemic.

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