Johns Creek Pediatrics Blog
Posts for: February, 2019
Life is busy and having a sick or injured child on top of everything else can be really overwhelming. Many parents aren’t exactly sure where to take their little one for medical care. It can be really confusing with all the different options available these days. Well, we are here to help! Here are some tips to help you decide.
When should I take my child to the PEDIATRICIAN?
One of our friendly providers at Johns Creek Pediatrics would love to see your child for their well checks and medical conditions that are not emergencies. So, what are medical conditions that aren’t considered emergencies you ask... well here are a few examples: coughs, colds, ear aches, foreign objects in ears and noses, pink eye, and sore throats. Click here to see all the services we provide. If there is something else and you are not sure if it is something we will treat, just call us and we will let you know! We want you to think of us first, we are your medical home! We are open 7:30 am to 6 pm Monday- Thursday, 7:30 to 5 pm on Fridays, and 9 am to 11:30 am on Saturdays. Did you know we offer walk in visits, same day appointments, and telemedicine?
When should I take my child to an URGENT CARE CENTER?
We recommend going to an urgent care center if we are not open and your child has a non-emergency medical condition that you think may worsen if they are not seen before our office will be open next. If it is something that can wait, we prefer you come in to our office because we know your child best!
If you decide to go to an urgent care center, we recommend going to one of the local Children’s Healthcare of Atlanta urgent care centers. Children’s has a helpful app you can download that shows all of its locations and provides wait times- here is a link to download the app for iOS or android.
When should I take my child to the EMERGENCY DEPARTMENT?
Your child should go to the ER if they are experiencing an emergency. Some examples of emergencies include: difficulty breathing, fever of >100.4 F in a child younger than 2 months old, loss of consciousness, seizure, or severe bone fracture.
Just thinking about having to take your child to an ER can be scary. But one thing that can help you breathe a little easier is to remember that luckily there are 3 pediatric ERs in Atlanta designed just for kids. We recommend your child go to one of the Children’s Healthcare of Atlanta Emergency Departments where there are health care providers who are specifically trained to treat pediatric patients.
When should I call 911?
Hopefully you will never have to call 911 for your child but just in case…we recommend you call 911 any time you believe a child needs immediate medical treatment. A list of some examples include: severe difficulty breathing, skin or lips that look blue, seizure, unresponsiveness, or a severe stiff neck accompanied by headache and fever.
If you aren’t sure if it is an emergency or not please call us at 770-814-1160, even if we aren’t open. We always have someone on call you can speak with to help you determine if you need to call 911, go the emergency department, urgent care, or come in to your friends at Johns Creek Pediatrics.
American Academy of Pediatrics. (2017, April 24). Is It A Medical Emergency or Not? Retrieved from https://www.healthychildren.org/English/family-life/health-management/Pages/Is-It-a-Medical-Emergency-or-Not.aspx
First Aid for Families. (2018, May 2). When to Call Emergency Medical Services (EMS). Retrieved from https://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/When-to-Call-Emergency-Medical-Services-EMS.aspx
What are the symptoms of measles?
Rubeola, commonly known as measles, is a virus that causes high fevers, widespread rash, and respiratory symptoms. It begins as a cough, conjunctivitis (red eyes), and coryza (stuffy/runny nose) for about 2-3 days. After that, a rash appears on the face and hairline then spreads to the rest of the body over an average span of 3 days. Additionally, white spots may pop up on the inside of the cheeks; usually back by the bottom molars.
Why is measles such a big deal?
Measles can be quite serious. Infected individuals are susceptible to secondary infections, such as pneumonia and appendicitis. They can also experience diarrhea that can lead to significant dehydration and possibly hospitalization. 246 children worldwide die every day from measles due to secondary issues such as these. The gravest complication that can result from the measles virus is a rare process called subacute sclerosing panencephalitis. It causes inflammation in the brain that is typically fatal in 6-12 months. The only cure is prevention through vaccines. It is rumored that subacute sclerosing panencephalitis can result from the measles vaccine but much research has proven that not to be true. The vaccine is made of an attenuated virus, meaning that the virus has been weakened so that it cannot cause disease. An attenuated virus cannot cause any of the complications that result from a fully active measles virus.
How contagious is the measles?
Measles is one of the most contagious childhood viruses. It is spread through things like coughing and sneezing. It is so contagious that 90% of unvaccinated people will become infected if they are exposed. It was considered an eradicated disease in 2000 but we have since seen outbreaks in the US due to low vaccination rates and international travel. The CDC has reported 79 cases of measles from 10 states since January 1, 2019. Georgia is one of the 10 states with confirmed cases.
What can you do to protect your child from measles?
This all sounds really scary but the great news is that this disease is preventable with vaccines. The MMR (measles, mumps, and rubella) vaccine is typically given at 1 year and again at 4-6 years of age but the second dose can be given earlier in special circumstances, like exposure or travel to an area with high prevalence. No child should suffer unnecessarily from an illness that could be avoided. Talk to us about protecting your child from this preventable disease.
Measles (Rubeola). (2019, January 28). Retrieved from https://www.cdc.gov/measles/index.html
S. (2014, June 17). Retrieved from https://www.aboutkidshealth.ca/Article?contentid=752&language=English
Hay, W. W. (2012). Current diagnosis & treatment: Pediatrics(23rd ed.). New York: McGraw-Hill Medical.
Unfortunately, it is flu season here in Georgia and flu can be a very serious illness, even in previously healthy children. It can lead to serious complications resulting in pneumonia, hospitalizations, and sadly even death. The best way to protect your child from the flu is to vaccinate him or her and encourage everyone around him or her to do the same.
Who should get the vaccine?
The American Academy of Pediatrics (AAP) recommends the flu shot for everyone ages 6 months of age and up every flu season. The first year that a child receives a flu shot (up through age 8), they need two doses, separated by at least 4 weeks. At our practice, we offer the influenza vaccine rather than the flumist (nasal spray) because it has been found to be more effective in past years and it is still the preferred vaccine for the 2018-2019 season according to the AAP.
Can you get the actual flu from the flu shot?
The most common side effect of the flu shot is soreness at the sight of injection. Low-grade fever, headache, and muscle aches are less common but can also occur for a few days after getting the shot; however, there is no live flu virus in the vaccine and it cannot actually cause you to get the flu.
But, sometimes it doesn’t seem to work…
Each year, flu viruses change and the vaccine is formulated to protect from the types of flu that are expected to cause disease in the upcoming year. Some years the flu shot works better than others at preventing disease; however, even if it doesn’t prevent your child from getting the flu, it can make the illness less severe and decrease chances of hospitalization. And, the good news this year is that preliminary data shows that the flu vaccine seems to be a good match this year to the circulating strains.
So, what should I do?
It takes about 2 weeks from vaccination for your body’s immune response to fully be ready to fight off the flu. So, if you or your kiddos haven’t yet gotten yours, call our office and schedule an appointment today. We offer the flu shot to parents as well. And, if you already have gotten yours, thank you for taking important steps to protect your children and others in our community!