Pediatrician - New Port Richey
2044 Trinity Oaks Boulevard Suite 235
New Port Richey, FL 34655
(727) 375-5437

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Posts for category: Uncategorized

By contactus@psmgfl.com
March 01, 2017
Category: Uncategorized
Tags: Untagged

Flu season has hit our area in full force. 

How do you know if someone in your family has gotten the Flu? 

IF they suddenly develop fever, especially with chills, headache, muscle achiness, cough and generally feel terrible and just want to lie in bed under a lot of covers, they probably have the Flu.  Worsening cough, sore throat and a runny or congested nose will usually follow..  Some people will have partial immunity and their symptoms may not be as severe, but a typical Flu infection makes people feel very ill for 3-5 days and then they will start to feel like they are starting to get better.  

What should you do if you think your child has the Flu? 

If they are considered high risk because of their age (less than 2 yrs. old),  or underlying medical condition, they should definitely be evaluated.  If they are school aged and don’t have any underlying medical condition they can be managed at home with increased fluids, fever control with Tylenol or Ibuprofen (but never Aspirin) and some of grandma’s restorative chicken soup.  If their fever is lasting longer than 4-5 days or they are not showing signs of improvement by this time they should be seen and evaluated.  Another reason to have your child evaluated when you think they have the Flu is if you want to put them on Tamiflu.  This is a medication covered by most, but not all, insurances.  It is given twice daily for 5 days to treat the Flu and once a day for 10 days to prevent household contacts from getting the Flu.  It shortens the course of the Flu by an average of about a day if given in the first 48 hours of infection and helps prevent transmission when taken by contacts. This can be significant when you consider how ill the Flu can make you and the lost school and work days caused by Flu infections in children and their family members.   So if your child has important upcoming events, such as performances or athletic events, or spread to other family members would be especially problematic, then it is best to get your child in to our office as soon as they develop classic Flu symptoms, preferably within  the first 48 hours.  A rapid Flu test can be done and a decision to treat the patient or contacts can be made based on the result.  One must keep in mind however that the rapid flu test is not that sensitive and may have a false negative result (a negative result in a patient who has the Flu) in 20-30 % of infected patients.  Because of this if a patient is evaluated during Flu season and has classic Flu symptoms a decision may be made to treat them with Tamiflu without doing a rapid Flu test or even if the result is negative in certain situations.  These cases are usually discussed with parent and the child and an informed decision is made.

Douglass Hasell, MD

By Thuy Pham MD
January 26, 2017
Category: Uncategorized
Tags: antibiotics  

THE FACTS.

Did you know that antibiotics are the most common cause of adverse drug reactions in children?  

As much as 30% of all antibiotics prescribed in outpatient settings are unnecessary. Most of this inappropriate use is for respiratory infections such as sinus infections, ear infections, pneumonia, the common cold, asthma, respiratory allergies.  And over one hundred thousand emergency room visits per year are due to antibiotic adverse reactions. Typical reactions can range from allergic drug rash, diarrhea, vomiting to anaphylactic shock, bone marrow suppression, renal failure, even death. Severe diarrhea secondary to C.dificile can lead to dehydration and sometimes fatality.  Studies have shown that only half of patients with respiratory infections or urinary infections are receiving the recommended first-line drug treatments.

What about antibiotic resistance?

While adverse reactions to medications are individual and short term problems, antibiotic resistance is a community and global long term issue. The incidence of superbugs resistant to conventional antibiotics is rising. Factors contributing to resistance are use of antibiotics when it is unnecessary, prescription of antibiotics that are not first line therapy, and inappropriate dosage or duration of medications. 

What can you as a patient do to help?

Let your doctor know that you are comfortable with “watchful waiting" and prefer not be treated with antibiotics unless it is absolutely necessary. Some Pediatricians may overprescribe because of pressure from anxious parents who are worried that if their child does not improve quickly they may miss work, school or a planned birthday party or vacation. Parents not uncommonly tell their pediatricians that their doctors have put adult family members on antibiotics for a respiratory infection and request antibiotics for their child. In reality, a viral respiratory infection or an environmental respiratory allergy will not improve with antibiotics.

Take your child to a doctor who has their records and knows their history. The after hour clinic, the minute clinic, the  emergency room doctor will be more likely to overprescribe antibiotics because of lack of access to your child's medical records and lack of opportunity  to follow up your child’s symptoms, increasing  their liability.  An emergency room physician or an after hour clinic provider is also more likely to prescribe a broad spectrum antibiotic or a “z-pack” rather than a first line therapy for the same reasons.

Please refrain from treating yourself from your child with a “left-over” or half-used bottle of antibiotics that you found in your medicine cabinet without consulting with your physician.

When you come home without antibiotics after an office visit with a doctor that you trust please do not think that you have wasted your valuable time or copay. You may have been to a physician who really cares about you, your child and your community. Please help raise awareness for antimicrobial stewardship.

 

Dr.Thuy Pham is an associate at Pediatric Specialists Medical Group and a Board Certified Pediatrician.

 

 

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By Pediatric Specialists Medical Group
March 04, 2015
Category: Uncategorized
Tags: Untagged

Welcome to Our Blog!

Pediatric Specialists Medical Group would like to welcome you to our blog. Here you will find informative and useful postings about child health care and our practice.

At Pediatric Specialists Medical Group, we believe that educated parents are better prepared to make decisions regarding their child’s health and wellbeing.  Our blog was designed to provide you with valuable health care information, the latest pediatric developments and child health care advice from our dedicated team. 

Pediatric Specialists Medical Group  hopes you find our blog to be a great resource for keeping up to date with proper child health care and treatments.

We welcome all comments and questions.

-- Pediatric Specialists Medical Group



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2044 Trinity Oaks Boulevard, Suite 235
Trinity, FL 34655