Pediatric Associates of Richmond

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  1. Flu tests available again

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    We once again have the rapid flu test available at both our Three Chopt and Bell Creek offices. We apologize for any inconvenience the shortage may have caused. If you would like to schedule an appointment at one of our offices, please contact the Call Center at 804-282-4205. If you’re interested in more general info about influenza, you can visit our Influenza Page.

  2. Influenza Update

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    We are sure we don’t have to tell you that influenza season is here.  You undoubtedly have already had a family member or friend who has been sick with the flu over the last 6 weeks.  News reports are coming out it seems weekly, if not daily, describing the severity of this flu season.  In light of this likely being the worst flu season since 2009, we want you to reassure you that we are here to address concerns about your children’s health.  There are regional and national shortages of both the rapid flu tests as well as oseltamivir (Tamiflu ®).  However, that doesn’t mean we cannot diagnose or manage the symptoms should your child develop the flu.

    As of Tuesday, February 7, we used our last rapid flu tests at each office.  We are unsure at this time when we will be getting more.  Rest assured that we can, however, diagnose influenza without the test.  In some cases your provider may recommend that we send a test to Labcorp to confirm the diagnosis, but this will not be necessary in all cases.  Depending on insurance, this test can be quite expensive.

    With regard to oseltamivir (Tamiflu ®) please keep in mind the following:

    • We strongly recommend its use for children diagnosed with influenza who are under 5 years old, who have a history of asthma/wheezing, or who have other chronic medical conditions.
    • The benefits of oseltamivir (Tamiflu ®) are to shorten the course of illness (decreases length of illness by ½ to 1 day on average) and potentially decrease the severity of symptoms or risk for complications.
    • Oseltamivir (Tamiflu ®) can, however, cause side effects. The most common of these are upset stomach and vomiting.  Therefore, the risks/benefits should be discussed with your child’s provider.
    • We may call in oseltamivir (Tamiflu ®) for patients without seeing them if they have flu symptoms (fever, chills, runny nose, cough, sore throat), have had known close contacts with someone with influenza, and have no signs of dehydration or breathing difficulty.
    • If you are concerned your child has the flu, and want to give them oseltamivir (Tamiflu ®), please call your pharmacy before your appointment to see if they have it in stock. If they do not, they can likely tell you which sister pharmacies do.
    • Prophylactic (preventive) oseltamivir (Tamiflu ®) may be recommended for siblings on a case by case basis.

    We know the reports of the flu vaccine’s effectiveness this year have been concerningly low.  Despite the vaccine only being 10-25% effective at preventing a patient from getting the flu this season, we still recommend it.  Patients who have had the vaccine tend to have a shorter and/or milder course and have lower risk of developing complications that would require hospitalization.  This is because there is some cross protection between the vaccine and the circulating strains, even if they are not a ‘perfect match’.

    If your child has not had the vaccine, it is not too late.  Flu season, unfortunately, will last another 6-8 weeks.  Besides handwashing, the flu vaccine is still our single best weapon against this nasty virus.  Call our call center at (804) 282-4205 to schedule an appointment to get your child’s flu shot.  Please remember that it takes approximately 2 weeks for the vaccine to be effective, so it is possible to contract the flu virus before the vaccine is working.

     

    If you’re interested in more general info about influenza, you can visit our influenza page.

  3. Early Closing Wednesday, January 17

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    Due to the weather/road conditions both our Three Chopt and Bell Creek offices will be closing at 4:30 PM Wednesday, January 17th.  If you have a medical emergency, please call 911.  If you have an urgent medical matter than cannot wait until our offices reopen on 1/18/18, you may call 804-282-4205 and follow the prompts to have the on-call provider paged.

     

  4. Delayed Opening/Early Closing Thursday, 1/4/18

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    Due to the snow and road conditions we will only be open from 9am to 4pm today (Thursday, 1/4/18).

    If you have a concern about your child after hours that is not an emergency, but also cannot wait until we re-open, please leave a message on our on-call voicemail; a provider will return your call as quickly as possible.

    For emergencies please call 911.

    If you would like to reschedule your child’s appointment, please contact our call center (804) 282-4205.

    Have a fun, safe snow day!

  5. Flu Shot Appointments now available

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    You can now schedule flu shot appointments for your children 6 months and up at both offices.  We are offering appointments during normal business hours as well as some evening clinics. Please contact the Call Center at 804-282-4205 between 8:30 A.M. and 4:30 P.M. MondayFriday to schedule an appointment.  Please see below for a few reminders about the flu vaccine.

    -If it is your child’s first year getting the flu vaccine, he or she will need two doses of the flu vaccine at least 4 weeks apart.
    -If your child has only received one dose of flu vaccine in his or her life and is 8 years old or younger, he or she will need 2 doses of the flu vaccine 4 weeks apart as well.
    -The flu shot is approved for 6 months and older.
    -For those children under 6 months of age or those who cannot receive a flu vaccine due to a medical condition or an allergy, it is recommended that the families and caregivers of those children are vaccinated for the current season so as to best protect the child.
    **Please note, we will only be providing the flu shot this year. No Flumist is available this season.
  6. 2017-18 flu vaccines are in

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    Flu season is fast approaching.  Beyond really good hand washing the best thing we can do to protect ourselves and our children is get our flu shots.  P.A.R.’s first flu shot shipment has arrived and next week we will begin scheduling flu shot appointments.  A few things to note about flu vaccines this year:

    • The flu vaccine is approved for those 6 months and older.
    • If it is your child’s first year getting the flu vaccine, he or she will need 2 doses of the flu vaccine at least 4 weeks apart.
    • If your child is 8 years old or younger and has received 1 or fewer previous doses of flu vaccine, he or she will need 2 doses of the flu vaccine 4 weeks apart as well.
    • Due to Flumist’s ineffectiveness in the recent past, we will NOT be offering it as a flu vaccine option again this year.
    • Children with an egg allergy, even if the reaction is anaphylaxis, may now receive the flu vaccine.
    • For those children under 6 months of age or those who cannot receive a flu vaccine due to a medical condition or an allergy, it is recommended that the families and caregivers of those children are vaccinated for the current season so as to best protect the child.

    To schedule your child’s flu shot appointment please call (804) 282-4205 for available dates and times.

  7. Congratulations Dr. Nelson on being voted a Top Doc

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    Richmond Magazine’s annual Top Docs publication comes out April 2017. This year Dr. Nelson was voted by other doctors and healthcare professionals in the Richmond metro area as a Top Doc. Please join us in congratulating her. We’re honored to have her as part of our group.

  8. Vaccine Changes for Infants and Teens

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    1) Pentacel:  After reviewing the most recent safety and effectiveness data, we are now recommending that instead of 3 individual shots for DTaP, Hib and polio at the 2, 4 and 6 month check-ups, patients receive a single shot called Pentacel.  Pentacel combines those 3 into a single shot, and will be given with Prevnar (a separate shot) and Rotateq (an oral vaccine) at each of those visits.  The protection will be the same, but now with less frequent side effects and 2 fewer shots.  If you have any questions your child’s doctor or NP will be more than happy to address them during your next check-up. 

    2) Trumenba:  Trumenba protects against MenB, the B strain of meningococcus, which causes meningitis.  The recommended dosing schedule for healthy adolescents is now 2 doses, instead of 3, spaced 6 months apart.  This means one less shot for your teen heading off to college.  If your child received their second dose at the 2 month interval already, he/she will still need a 3rd dose at least 4 months from the 2nd dose.  Please contact our office if you have any questions about this change. You can learn more about Trumenba here.

  9. PAR once again named Family Favorite Pediatric Group

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    We’re honored to be voted the Favorite Pediatric Group in this year’s annual Style Weekly Family Favorites issue.  It is the 11th straight year we have been given this honor. We feel so fortunate to be your pediatricians. Thank you for the recognition.