Are You Ready for Things to Open Up Again?

beachballI’m sharing this post from a Texas pediatrician for those of you thinking about return to work, school, daycare, preschool, school, and activities. It’s a good read.

Are You Ready for Things to Open Up Again?by Dr. Iannelli.

Posted in Babies!, Children, COVID19, Medicine, Safety, Teens, Wellness | Leave a comment

Antibody Testing for COVID19: May 2020

surgicalMaskMany of you have called the office asking about COVID19 testing. Antibody testing is a piece of the puzzle in determining whether or not someone has had a coronavirus infection. The results of antibody tests are best interpreted in the context of your clinical history. This means your pediatrician is the best person to help you decide if testing is appropriate and when it is most useful. Your pediatrician is also the best person to help you interpret the test. Please contact us before making any decisions about COVID antibody testing. We are here to help. 
 
If you are interested in the possibility of having this test done for your children, please call to schedule a telehealth visit to discuss whether or not testing is right for you, and how we can make it happen. The COVID testing requires a blood draw and cannot be done by fingerstick at this time. Results take 2-5 days to be reported.
 
While a positive antibody test may mean you have been infected with a coronavirus like SARS-Co-V2, the virus that causes COVID19, no one can make any conclusions as to what the result will mean for the patient in terms of future immunity. We must all continue following the recommendations of social distancing, hand washing and wear a face covering while out.
 
Keeping you safe, healthy and well-informed is our number one priority.  
 
We are here for you, and we will get through this together.
Posted in 101, COVID19, Medicine, Urgent Care, Wellness | Leave a comment

PIMS Update: Pediatric Multisystem Inflammatory Syndrome

COVID19ImageWe have been sheltering at home and following the recommendations of social distancing, hand washing and wearing a mask when we have to go out.  The good news is that we seem to be in a steady state as far as COVID19 infections go. There is a new concern, however, for our children – Pediatric Multisystem Inflammatory Syndrome or PIMS.

PIMS is a very rare syndrome similar to Kawaski Disease and Toxic Shock syndrome, which most of you have never heard about.  While extremely rare, about 100 children have been affected. The syndrome is thought to be a post-viral process, most likely related to COVID 19 The majority of patients with PIMS are COVID-antigen negative, but antibody positive or have a history of close contact with a COVID-positive patient

Children with PIMS look sick.  They have had a few days of fever greater than 101, and may have symptoms that include abdominal pain, vomiting, diarrhea, headache, rash, red eyes, swollen hands or red cracked lips.   Younger children may not want to drink.  Few patients actually have the respiratory symptoms we see in adults.

Our concern is the syndrome may affect heart function requiring hospitalization and ICU care. The  majority of children do well with this syndrome but they need special attention and supportive care.  Pediatric Multi-system Inflammatory Syndrome is new. We are watching this very carefully and scientists around the world are working hard to understand this syndrome and how best to treat it. 

Until then, we want to reassure parents that most children are not affected by the coronavirus, and reports of children who become seriously ill remain rare and unusual cases. Many children have red eyes, or rash or diarrhea without fever or looking ill.  These children do not have PIMS.  What should parents do?  If you are concerned, contact your pediatrician.  We can set up a telehealth visit and we can evaluate your child and answer all your questions.

Read more from the AAP here.

Posted in 101, Children, COVID19, Medicine, Urgent Care, Wellness | Leave a comment

OPEN? We never closed!

OpenNeonWill you need forms for daycare, preschool, elementary school, sports, scouting, or future activities?

Many families are getting ahead of the curve and scheduling appointments as we look to the broader re-opening.

We are open for all your sick and well care needs. We have access to full PPE and a rigorous cleaning protocol for office visits and those done at your vehicle. Telemedicine is also available as well as expanded physician telephone advice hours.

The American Academy of Pediatrics supports continued well care during the pandemic. Read their position statement

https://services.aap.org/…/guidance-on-providing-pediatric…/

Posted in 101, Babies!, Children, Health Care, Immunization, Medicine, Urgent Care, Wellness | Leave a comment

Cover Up!

surgicalMaskInfo on face coverings are here from the American Academy of Pediatrics about the how and why of your child’s new super power to reduce the spread of COVID19!

If you are coming to visit at in the office, please wear your face coverings. Thank you!

 

I did a video to show kids my full PPE outfit. Watch it here.

 

Posted in 101, Children, COVID19, Medicine, Simply Safe, Wellness | Leave a comment

Health Insurance for Children: MediCal

sickThe pandemic has affected everything. If your family’s employment and health insurance has changed, please know that our practice accepts MediCal. There’s information here.

Another source of information for insurance, food and financial assistant is CalWIN.

Contra Costa residents can also call 211 for help with the process.

There is an HMO MediCal offered through Children’s First Medical Groupthat includes specialists from Children’s Hospital Oakland and UCSF. We accept it and highly recommend it. Please call the office with any questions.

Posted in 101, Babies!, Children, Health Care, Immunization, Medicine, Wellness | Leave a comment

Well Care Telemedicine MediCal

Birdhouse logo.rightWelcome to Telemedicine Well Care!

Before your visit, print out the form that matches your child’s age form the list below. For example, if your child is 9 months old, select the 9 Month Wellness link. These are the same forms we have you fill out in the office.

Complete the forms and return them to the office via upload to your patient portal or fax. We do not recommend emailing personal health information, but contact the office if you need to do that at (925)939-7334.

On the day of the appointment, measure your child’s height, weight, and temperature. (Tip: When checking your child’s height, have your child stand with his/her feet together and make sure they are standing up straight. This will give a more accurate measurement.) Vision, hearing, lab work and immunizations will be scheduled separately.

To access the virtual appointment:
-Using a laptop or computer with a webcam, go to http://www.doxy.me/CasaVerdePediatrics with your Safari, Google Chrome, or Firefox browser. Maximize bandwidth by asking other members of the household to minimize streaming. You will see a welcome window pop-up asking you to enter your name and check-in. Please enter your child’s name and click “check-in.”
-Call the office at (925)939-7334 when you and your child are in the virtual waiting room so staff can let the doctor know that you are ready.

Newborn wellness

1 month wellness

2 month wellness

4 month wellness

6 month wellness

9 month wellness

12 month wellness

15 month wellness

18 month wellness

2 year wellness

2 1/2 year wellness

3 year wellness

4 year wellness

5 year wellness

6 to 8 year wellness

9 to 11 year wellness

12 year wellness

13 to 17 year wellness

18 to 24 year wellness

 

 

 

 

 

Posted in 101, Babies!, Children, DIY, Health Care, Immunization, Medicine, Safety, Teens, Wellness | Leave a comment

Well Care Telemedicine

Birdhouse logo.right

Welcome to Telemedicine Well Care!

Before your visit, print out the form that matches your child’s age form the list below. For example, if your child is 9 months old, select the 9 Month Wellness link. These are the same forms we have you fill out in the office.

Complete the forms and return them to the office via upload to your patient portal or fax. We do not recommend emailing personal health information, but contact the office if you need to do that at (925)939-7334.

On the day of the appointment, measure your child’s height, weight, and temperature. (Tip: When checking your child’s height, have your child stand with his/her feet together and make sure they are standing up straight. This will give a more accurate measurement.) Vision, hearing, lab work and immunizations will be scheduled separately.

To access the virtual appointment:
-Using a laptop or computer with a webcam, go to http://www.doxy.me/CasaVerdePediatrics with your Safari, Google Chrome, or Firefox browser. Maximize bandwidth by asking other members of the household to minimize streaming. You will see a welcome window pop-up asking you to enter your name and check-in. Please enter your child’s name and click “check-in.”
-Call the office at (925)939-7334 when you and your child are in the virtual waiting room so staff can let the doctor know that you are ready.

Newborn wellness

1 month wellness

2 month wellness

4 month wellness

6 month wellness

9 month wellness

12 month wellness

15 month wellness

18 month wellness

2 year wellness

2 1/2 year wellness

3 year wellness

4 year wellness

5 year wellness

6 to 12 year wellness

13 to 17 year wellness

18 to 24 year wellness

 

 

 

Posted in 101, Babies!, Children, Health Care, Medicine, Teens, Wellness | Leave a comment

Don’t bring home an itchy souvenir!

Poison OakPlanning a hike or just enjoying open space near by?

Poison oak is out there, and it’s harder to recognize before it’s fully leafed out.

Read what to do before and after in a vintage blog post here and here.

Posted in 101, Children, Green, Medicine, Pediatric Bits, Safety, Teens, Wellness | Tagged | Leave a comment

Well Care Continues in the time of COVID19

tallerThe American Academy of Pediatrics announced recommendations for offices regarding the care of infants and children during the pandemic.

We must not lose sight of the face that other disease like meningitis, whooping cough, measles, influenza and many others cause significant disease and death in young children.

When COVID19 subsides, we do not want to see a measles epidemic because immunization rates dropped for a large group of children.

The AAP recommends that offices continue to provide well care for infants and children.

We have dedicated specific rooms for well care.

We have a dedicated well entrance and follow best practices with hospital grade disinfectants.

Sick children are being seen in our Satellite Clinic at our same location.

If you have any questions, please contact the office so that we may answer your questions and address your concerns.

Read the recommendations from the AAP here.

Posted in 101, Babies!, Children, COVID19, Health Care, Immunization, Medicine, Wellness | Leave a comment