Wednesday, December 29, 2010
Here is an excerpt from the CDC's Influenza Update:
CDC has antigenically characterized 89 influenza viruses [13 2009 influenza A (H1N1) viruses, 26 influenza A (H3N2) viruses, and 50 influenza B viruses] collected by U.S. laboratories since October 1, 2010.
2009 Influenza A (H1N1) 
All 13 were characterized as A/California/7/2009-like, the influenza A (H1N1) component of the 2010-11 influenza vaccine for the Northern Hemisphere.
Influenza A (H3N2) 
All 26 were characterized as A/Perth/16/2009-like, the influenza A (H3N2) component of the 2010-11 influenza vaccine for the Northern Hemisphere.
Influenza B 
All 50 viruses belong to the B/Victoria lineage of viruses and was characterized as B/Brisbane/60/2008-like, the recommended influenza B component for the 2010-11 Northern Hemisphere influenza vaccine.
Testing of 2009 influenza A (H1N1), influenza A (H3N2), and influenza B virus isolates for resistance to neuraminidase inhibitors (oseltamivir and zanamivir) is performed at CDC using a functional assay. Additional 2009 influenza A (H1N1) clinical samples are tested for a single known mutation in the neuraminidase protein of the virus that confers oseltamivir resistance (H275Y). The data summarized below combine the results of both test methods and includes samples that were tested as part of routine surveillance purposes; it does not include diagnostic testing specifically done because of clinical suspicion of antiviral resistance.
High levels of resistance to the adamantanes (amantadine and rimantadine) persist among 2009 influenza A (H1N1) and A (H3N2) viruses (the adamantanes are not effective against influenza B viruses) circulating globally. As a result of the sustained high levels of resistance, data from adamantane resistance testing are not presented weekly in the table below.
To prevent the spread of antiviral resistant virus strains, CDC reminds clinicians and the public of the need to continue hand and cough hygiene measures for the duration of any symptoms of influenza, even while taking antiviral medications. Additional information on antiviral recommendations for treatment and chemoprophylaxis of influenza virus infection is available at http://www.cdc.gov/flu/antivirals/index.htm.
Wednesday, December 22, 2010
Monday, December 6, 2010
--Most children with allergies to milk, egg, soy, and wheat will eventually be able to tolerate these allergens, while tree nut and peanut allergies are less likely to resolve with time. Likewise, food allergies that begin in adulthood are likely to persist.
--Food allergies tend to coexist with asthma, atopic dermatitis, eosinophilic esophagitis, and exercise-induced asthma. Eliminating food allergens can improve symptoms of some of these comorbid conditions.
--The guidelines do not recommend restricting maternal diet during pregnancy or lactation to prevent the development or clinical course of food allergies, but they do recommend exclusive breast-feeding of all infants until age 4 to 6 months, unless medical reasons contraindicate breast-feeding.
According to Dr. Hugh Sampson, the guidelines concur with current American Academy of Pediatrics guidelines. "There is no evidence that delaying certain foods, even foods that are considered allergenic, (is) going to have any significant effect on the development of allergy," he said.
-Food allergies should be confirmed, because studies indicate that 50% to 90% of presumed food allergies are, in fact, not allergies.
Sunday, November 28, 2010
We will be open on Christmas Eve and New Year's Eve for sick visits only. Dr. Buchanan and Dr. Packer will be the doctors in the office on those days. We will only be open in the morning on both days. Our phones will turn on at 8:00 a.m.
Wednesday, November 17, 2010
Every year the American Cancer Society chooses one day to encourage people to stop smoking for 24 hours and to quit for good. It's called the Great American Smokeout, and it is tomorrow, November 18th. So, to all you parents out there who know you need to quit...tomorrow is your day. If you needed anymore motivation (although I know you don't--those darlings are enough) here are a few tidbits.
- Living with someone who smokes (even if they only smoke outside) makes kids more likely to have ear infections, lung infections, SIDS, obesity, worse asthma and allergies.
- Smokers are more likely to be depressed.
- Any amount of smoke (not just high levels) causes genetic abnormalities in lung cells which can lead to cancer.
- People who quit smoking AND change eating habits at the same time are more successful at both.
- Children whose parents smoke are twice as likely to begin smoking.
- Brad Pitt did it for his kids. You can too.
Wednesday, November 10, 2010
Tuesday, November 9, 2010
We will be open the day after Thanksgiving 11/26/10 for sick visits only. We hope that you won't need us but if you do...know that we are open. Dr. Bosworth and Teresa McNaught will be the providers in the office. The phones will turn on at 8:00 a.m.
Thursday, November 4, 2010
Wednesday, November 3, 2010
Monday, November 1, 2010
Thursday, October 28, 2010
Monday, October 25, 2010
Tuesday, October 19, 2010
I thought this was an interesting article...something that we probably don't think about often enough. The original article can be found here.
Low-Fructose Diet May Ease Kids’ Abdominal Pain
WebMD Health News
Oct. 18, 2010 -- New research suggests that a low-fructose diet reduces recurrent abdominal pain in children with fructose malabsorption. The condition causes gas, bloating, and cramping because of an inability to properly digest fructose.
Fructose is a sugar found naturally in fruits, honey, and some syrup. It is also used to sweeten many processed foods and drinks. Researchers led by Daniel Lustig, MD, a pediatric gastroenterologist at Mary Bridge Children’s Hospital and Health Center in Tacoma, Wash., studied 245 patients aged 2 to 18 who had unexplained chronic abdominal pain,constipation, gas, bloating, and/or diarrhea. Nearly two-thirds of the group was female and the median age was 11.
The children underwent breath hydrogen tests to determine if they had fructose intolerance. Nearly 54% of the group tested positive for fructose intolerance.
Children who tested positive were put on a low-fructose diet and counseled by a registered dietitian. They were later re-evaluated for pain. Sixty-seven percent of the children who tested positive for fructose intolerance reported resolution of abdominal pain and other symptoms after being on the low-fructose diet. Of note, about 48% of children who tested negative for fructose intolerance also reported resolution of their abdominal pain without a low-fructose diet.
The findings were presented today at American College of Gastroenterology's (ACG) 75th Annual Scientific meeting in San Antonio.
Lustig says fructose intolerance appears to be more common in teenage girls. Fructose intolerance can be mistaken for other gastrointestinal disorders that cause abdominal cramping and pain, such as Crohn’s disease, ulcerative colitis, or irritable bowel syndrome.
“With fructose in everything from fruit to pre-packaged products, soft drinks, and honey, it is difficult to avoid so the challenge is finding those foods without fructose and still maintain a healthy nutritional balance," Lustig says. "While there is definitely a subset of patients who respond well to a low-fructose diet, it's challenging for patients who are fructose intolerant to maintain, especially teenagers. But the good news is that over half of patients who are fructose intolerant are able to maintain a low-fructose diet and are able to notice an immediate improvement in their symptoms.”
Friday, October 15, 2010
Our patients receive vaccinations against Hepatitis A at the 12 month and 18 month visits, so most of your children should be protected. Some teenagers may not have received the vaccine when they were little, although we try to catch them up when they start 7th grade. If you have any questions about your child's immunization status, feel free to call us at 801 565-1162 to check on it.
Symptoms of Hepatitis A to watch for would include: vomiting, diarrhea, jaundice (yellow coloring of the skin and eyes) and tiredness. If you or your child has these symptoms, please get checked.
Friday, October 8, 2010
As one who occasionally dons the skinny jean, I was curious to read about Skinny Jean Syndrome.
Thursday, October 7, 2010
Wednesday, October 6, 2010
Friday, October 1, 2010
Drive-thru Flu Shot Clinic" Sponsored by Salt Lake Regional Medical Center and Community Nursing Services
Drive-Thru Flu Shot Clinic
When: October 2, 2010 from 9am - 1pm.
Where: Rio Tinto Stadium – south parking lot.
Available to anyone 6 months and older.
Insurances accepted: Aetna, Altius, Blue Cross, DMBA, PEHP, SelectHealth, Summit Care, United Health Care, Medicare part B and some Medicare Advantage Plans. Cash price for the shot is $20. Roll in… Roll up… Roll out.
Sponsored by Salt Lake Regional Medical Center and Community Nursing Services.
For more information call: (801) 207-8777
Thursday, September 30, 2010
In the past few weeks three influenza-associated hospitalizations have been reported along the Wasatch Front. Confirmatory testing at the state lab has identified seasonal influenza A (H3) in all three patients. National data indicates that this season's influenza vaccine is a good match to currently circulating strains. The current Advisory Committee on Immunization Practices (ACIP) recommendation for influenza vaccine is a universal recommendation that all individuals should be vaccinated.
Additionally, clinics and emergency rooms across the state are showing an increase in patient visits for respiratory symptoms. Surveillance indicates that respiratory activity is not limited to influenza alone, and that other respiratory viruses, like rhinovirus and enterovirus, are circulating in the community.
We are also seeing a lot of croup in the office this week. If your child has a croupy (barky, seal-like) cough, it will usually improve within 3-4 days. We should see your child if he/she is having noisy or labored breathing with the croup that won't respond to home measures, such as a vaporizer or humidifier, or sitting in a steamy bathroom for 20 minutes.
Wednesday, September 29, 2010
Some kids will need TWO doses of the flu shot this year, some only ONE:
The American Academy of Pediatrics and the CDC (Centers for Disease Control and Prevention) recommendations for this influenza season is based on previous vaccinations of season influenza and if your child received any H1N1. Please click here to see if your child will require a booster dose (2 doses) of the seasonal influenza vaccine this season seperated by at least 30 days. Children 9 years and older will only require 1 dose of the influenza vaccine.
Basically, if your child under the age of 9 years had ANY doses of H1N1 vaccine last year, and has had at least TWO seasonal flu shots in the past, he or she will only need ONE dose this year. If your child didn't receive any H1N1 vaccine, you need to get TWO doses this year. If your child has only received ONE dose of seasonal flu vaccine (regardless of number of H1N1 doses) you need TWO doses this year.
We are happy to help you figure out this mess! Just give us a call 801 565-1162.
Tuesday, September 28, 2010
6-35 months influenza shot
3 years and older influenza shot
2 years and older FluMist - Nasal
Please verify with your insurance, PRIOR to your appointment, if the influenza vaccine is a covered benefit. Any balances not covered, will be your responsibility.
Call our office today to schedule your child's influenza vaccine appointment.
Friday, September 24, 2010
Current supply of flu vaccine:
Wednesday, September 22, 2010
Abbott Nutrition is issuing a voluntary recall of certain Similac powder infant formulas. Apparently, there is a remote possibility of the presence of a small common beetle in the product produced in a single manufacturing facility. Yuck.
The recall includes certain Similac powder infant formula sold in plastic containers and in 8-ounce sample cans, and 12.4-ounce and 12.9-ounce cans.
To find out if your formula is involved, go to www.similac.com/recall/lookup and type in the lot number. (It looks like the site is getting a ton of traffic, and when I tried it took awhile to load.)
Also, Abbott has set up a hotline at (800) 986-8850.
Tuesday, September 21, 2010
Tuesday, September 14, 2010
3 years and above influenza shot
2 years and above FluMist - Nasal
VFC (Medicaid, CHIP, No insurance and under-insured)
3 years and above influenza shot
2 years and above FluMist - Nasal
We DO NOT have any 6-35 months VFC influenza shot
**Please verify with your insurance company if the influenza vaccine is a covered benefit, any balances not covered will be your responsibility**
Friday, September 10, 2010
Here is summary of the flu vaccine we have...
6-35 months influenza shot
3 years and above influenza shot
2 years and above FluMist - Nasal
No VFC influenza vaccines yet
We have flu clinic days on
Select Tuesdays 9-5
Wednesdays - 2-5
Fridays - 2-5
Saturdays - 9-1
**Please verify with your insurance company, prior to your visit, if the influenza vaccine is a covered benefit. Any balances not covered by your insurance will be your responsibility.**
Tuesday, September 7, 2010
We have FluMist and flu shots for children 2 years and above for regular insurance (No Medicaid, CHIP, or under-insured)
We have received some calls from VFC patients wanting to pay for the flu vaccine that is not governmently funded instead of waiting for the shipment of VFC, we can give you a flu vaccine but you will be required to pay in full, the price of the vaccine, and the admin fee (per child) at the time of service before receiving the vaccine.
Here is the price for each vaccine if you would like to pay...
Flumist= $42.00 per child. This includes the admin fee
Flu shot (2 years and above) = $34.00 per child. This includes the admin fee
Wednesday, September 1, 2010
Tuesday, August 31, 2010
Saturday, August 28, 2010
Measles typically presents with 2-4 days of fever, cough, runny nose, conjunctivitis and generally feeling lousy; this stage is called the "prodrome". This is followed by the classic measles rash, with red spots and bumps, beginning on the face and then spreading to the trunk, arms and legs. Many children also have sores in their mouth as well.
Children typically receive vaccinations for measles at 12 months and at 4-5 years of age. If your child is behind on these immunizations, please contact our office at 801 565-1162 so we can update your child's immunizations.
Information about measles including diagnosis and preventing transmission can be found at:
Utah Department of Health: http://health.utah.gov/epi/diseases/measles/index.html
or call our office. If you think your child might have these symptoms, let us know so we can arrange to see your child.
Tuesday, August 24, 2010
Starting September 1st, we will begin scheduling appointments in our flu shot clinics. In order to better serve our patients, our flu shot clinics are by appointment only. This keeps waiting time down and decreases the chance of exposure to other sick children.
Our clinic times will be:
Select Tuesdays 9:00 - 5:00
Monday, August 9, 2010
Saturday, August 7, 2010
Friday, July 16, 2010
Sunday, July 4, 2010
Call 911 Now (your child may need an ambulance) If
- Not moving or very weak
- Unresponsive or difficult to awaken
- Difficulty breathing with bluish lips
- Purple or blood-colored spots or dots on skin
Call Your Doctor Now (night or day) If
- Your child looks or acts very sick
- Not alert when awake
- Any difficulty breathing
- Great difficulty swallowing fluids or saliva
- Child is confused (delirious) or has stiff neck or bulging soft spot
- Had a seizure with the fever
- Age under 12 weeks with fever above 100.4° F (38.0° C) rectally (Caution: Do not give your baby any fever medicine before being seen)
- Fever over 104° F (40° C) and not improved 2 hours after fever medicine
- Very irritable (e.g., inconsolable crying or cries when touched or moved)
- Won't move an arm or leg normally
- Signs of dehydration (very dry mouth, no urine in more than 8 hours, etc.).
- Burning or pain with urination
- Chronic disease (e.g., sickle cell disease) or medication (e.g., chemotherapy) that causes decreased immunity
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
- You think your child needs to be seen
- Age 3-6 months with fever
- Age 6-24 months with fever present over 24 hours but no other symptoms (e.g., no cold, cough, diarrhea, etc.)
- Fever repeatedly above 104° F (40° C) despite fever medicine
- Fever present for more than 3 days
Call Your Doctor During Weekday Office Hours If
- You have other questions or concerns
Parent Care at Home If
- Fever with no other symptoms and you don't think your child needs to be seen
- Reassurance: Presence of a fever means your child has an infection, usually caused by a virus. Most fevers are good for sick children and help the body fight infection. Use the following definitions to help put your child's level of fever into perspective:
- 100°-102°F (37.8° - 39°C) Low grade fevers: beneficial, desirable range
- 102°-104°F (39 - 40°C) Mild fever: still beneficial
- Over 104°F (40°C) Moderate fever: causes discomfort, but harmless
- Over 105°F (40.6°C) High fever: higher risk of bacterial infections
- Over 106°F (41.1°C) Very high fever: important to bring it down
- Over 108°F (42.3°C) Dangerous fever: fever itself can harm brain
- Give cold fluids orally in unlimited amounts (reason: good hydration replaces sweat and improves heat loss via skin).
- Dress in 1 layer of light weight clothing and sleep with 1 light blanket (avoid bundling). (Caution: overheated infants can't undress themselves.)
- For fevers 100°-102° F (37.8° - 39°C), this is the only treatment needed (fever medicines are unnecessary).
- Fevers only need to be treated with medicine if they cause discomfort. That usually means fevers above 102°F (39°C).
- Give acetaminophen (e.g., Tylenol) or ibuprofen (e.g., Advil). See the dosage charts.
- The goal of fever therapy is to bring the temperature down to a comfortable level. Remember, the fever medicine usually lowers the fever by 2° to 3° F (1 - 1.5° C).
- Avoid aspirin (Reason: risk of Reye's syndrome, a rare but serious brain disease)
- Avoid alternating acetaminophen and ibuprofen (Reason: unnecessary and risk of overdosage)
- Note: Sponging is optional for high fevers, not required.
- Indication: May sponge for (1) fever above 104° F (40° C) and (2) doesn't come down with acetaminophen (e.g., Tylenol) or ibuprofen (always give fever medicine first).
- How to sponge: Use lukewarm water (85 - 90° F) (29.4 - 32.2° C). Do not use rubbing alcohol. Sponge for 20-30 minutes.
- If your child shivers or becomes cold, stop sponging or increase the water temperature.
- Fever goes above 104° F (40° C) repeatedly
- Any fever occurs if under 12 weeks old
- Fever without a cause persists over 24 hours (if age less than 2 years)
- Fever persists over 3 days (72 hours)
- Your child becomes worse