Monday, September 28, 2009

What We're Seeing the Week of September 28, 2009

Hey everyone. Summer's over, at least as far as respiratory illnesses. We are seeing a lot of strep throat right now-- sore throat, fever, headache, stomach ache/vomiting without runny nose or cough. We are also starting to see H1N1 influenza again-- fever, runny nose, cough, body aches, sore throat, headache, and sometimes vomiting. Remember, influenza is different than "stomach flu", which is really gastroenteritis and is caused by different viruses. We would recommend NOT using any aspirin products at this time (including children's aspirin and Pepto Bismol, which has a derivative of aspirin) because of the risk of Reye Syndrome in children with influenza A who get aspirin products. Ibuprofen and tylenol do not cause this problem and are safe to use.

Thursday, September 24, 2009

Construction Phase One Complete!

We moved the reception desk yesterday and started using our new rooms on the west side. There is a surprise for the kids-- each room has a brightly colored "accent wall" -- yellow, blue, green or orange-- that we think they'll love. The furniture hasn't been re-covered yet, so not everything matches. But we're getting there. PIctures soon.

Sunday, September 20, 2009

Tylenol Recall

We received the following letter from the makers of Tylenol. If you have any of the suspect Tylenol, we recommend you throw it away and call the number below to get a free replacement bottle. If you have used the recalled Tylenol, and are concerned about your child, feel free to call us or come in and have them examined. {Although it is likely that the recalled Tylenol caused no harm, so don't worry too much!}


Dear Healthcare Professional:

I am writing to inform you that, in consultation with the U.S. Food and Drug Administration (FDA), McNeil Consumer Healthcare is voluntarily initiating a recall of certain lots of Children's and Infants' TYLENOL® products that were manufactured between April 2008 and June 2008. The full list of recalled product lots is below.

The company has implemented this recall because examination of bulk raw material detected that one of the inactive ingredients did not meet internal testing requirements. Specifically, the gram-negative bacteriaBurkholderia cepacia (B. cepacia) was detected. The portion of raw material in which the bacteria was found was isolated and was not used in the production of any finished product. However, it was decided, as a precaution, to recall all product that utilized any of the raw material manufactured at the same time as the raw material that tested positive for the bacteria. Please note: No bacteria has been detected in finished product and the finished product has met all specifications.

A review of the relevant published scientific literature regarding B. cepacia indicates that while ingestion of contaminated pharmaceutical product is not known to be a route of transmission of B. cepacia infection, infection has been reported following the use of contaminated pharmaceutical products such as mouthwashes and nasal sprays. Adverse health consequence of B. cepacia infections could be potentially severe especially in high-risk patients, such as those with underlying pulmonary disease, cystic fibrosis or compromised immune systems.

McNeil has conducted an assessment of post-marketing safety surveillance data and did not identify any safety signals or batch-related safety concerns for Infants' and Children's TYLENOL® products over the time period, starting with the introduction of these batches, in or around April 2008.

McNeil is advising parents and caregivers who have administered affected product to their child or infant and have concerns to contact their healthcare providers. Parents and caregivers can find the lot numbers on the bottom of the box containing the product and also on the sticker that surrounds the product bottle. If your patients determine that they have affected product, they can contact our Customer Care Center at 1-800-962-5357 and we will send them a coupon for a new bottle.

If you have any questions, please call our Medical Affairs Department at 1-800-962-5357 (available Monday-Friday 8 a.m. to 8 p.m. Eastern Time).

Sincerely,
Edwin Kuffner
Edwin K. Kuffner, MD
Vice President, Medical Affairs
McNeil Consumer Healthcare

Recalled Products - Full List
UPC #Code #Lot #Product Description
3004503910493910400SBM041, SBM067, SCM037, SDM027, SEM109Children's TYLENOL® Plus Cold MS Suspension 4 oz. Grape
3004502960472960400SBM042, SCM015, SCM036, SDM034Children's TYLENOL® Suspension 4oz. Grape
3004504070474070400SBM043, SBM044, SCM029Children's TYLENOL® Suspension 4oz. Bubble Gum
3004504930404930400SBM045, SCM011, SCM030, SDM035Children's TYLENOL® Suspension 4oz. Strawberry
3004501224071224000SBM064, SCM033, SDM020Infants' TYLENOL® Grape Suspension Drops 1/4oz.
3004501861571861500SBM065, SCM005, SCM006, SDM032Infants' TYLENOL® Suspension 1/2oz. Cherry
3004501660431660400SBM066, SCM068Children's TYLENOL® Dye Free Suspension 4oz. Cherry
3004501230461230400SBM068, SCM035, SCM070, SCM080, SDM005Children's TYLENOL® Suspension 4oz. Cherry
3004502490432490400SBM069, SBM070, SCM081, SDM006Children's TYLENOL® Plus Cough & Runny Nose 4oz. Cherry
3004501221551221500SCM012, SCM067, SDM007, SDM068Infants' TYLENOL® Suspension Drops 1/2oz. Grape
3004503860453860400SCM013, SCM014, SCM069Children's TYLENOL® Plus Flu 4oz. Bubble Gum
3004503870423870400SCM016, SFM024Children's TYLENOL® Plus Cold Suspension 4oz. Grape
3004502470492470400SCM017Children's TYLENOL® Plus Cough/ST Suspension 4oz. Cherry
3004501220181220100SCM082, SDM039, SDM040Infants' TYLENOL® Suspension Drops 1oz. Grape
3004501670191670100SCM083, SCM084, SDM008Infants' TYLENOL® Dye Free Suspension 1oz. Cherry
3004501230151230100SDM064Children's TYLENOL® Pediatric Suspension 1oz. Cherry
3004501863001863000SDM038, SDM009Infants' TYLENOL® Suspension Drops 1oz. Cherry
3004503900423900400SDM033Children's TYLENOL® Plus Cold/Allergy 4oz. Bubble Gum
3004501221001221000SDM078Infants' TYLENOL® Drops 1oz. Grape
3505801441831221800SCM034Infants' TYLENOL® Grape Suspension Drops H/G 1/2oz.
3505801230341230300SDM028Children's TYLENOL® Suspension 4oz. Cherry, Hospital Govt.

Friday, September 18, 2009

Roundworm

Recently a few cases of roundworm (ascaris) have been reported. The worms were contracted in the sand near Oquirrh Lake. If you think your child may have been exposed, please call our office at 801-565-1162 to make an appointment so we can get them tested and treated.

Friday, September 11, 2009

Construction Update

New desk (looking at old desk)


Waiting Room

Hallway





Swine Flu

A vaccine for the Swine Flu (H1N1) is currently in production, and slated for release in October. At this time we don't know what the recommendations will be for children, but we will keep you posted. In the meantime, we saw our first case of regular influenza here in the office. So....come in and get your flu shots!!!